OMB APPROVED: NO. 0581-0113

U.S. DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

LIVESTOCK, POULTRY, AND SEED PROGRAM

IMPORT PERMIT NUMBER:

IMPORT REQUEST (SHELL EGGS)

Instructions: See reverse side for completion instructions or hyperlink for electronic filing in the Automated Commercial Environment (ACE).

Section A – Application for Import Inspection Section D – Agreement for Temporary Transfer

1. Name and Address of Consignor: Date:

IN CONSIDERATIION of the U.S. Collector of Customs 

granting me (us) permission to transfer temporarily the 

products described in Section “C” which are offered for 

entry into the United States. I (WE) AGREE under bond 

filed with said Collector of Customs and subject to the

penalties prescribed in laws enacted by Congress and 

regulations issued thereunder by the Secretary of the 

Treasury, to hold the said products intact at the location 

indicated below until they have been inspected and passed 

by a Livestock, Poultry, and Seed Program Representative 

or have been otherwise disposed of under the supervision 

of a U.S. Customs Officer or a Livestock, Poultry, and 

Seed Program Representative.

2. Name and Address of Importer:

Section B – Notice of Product Shipped Under Seal(s)

1. Point of Entry: 2. Estimated Date of Arrival:

3. Container/Trailer Number: 4. Seal Number: 1. Name and Address for Location of Product for AMS

Inspection:

Section C – Identification of Shipment

1. Country of Origin: 2. U.S. Customs Entry Number:

3. Name and Address of Consignee: 2. Name and Telephone Number for Contact at the

Location:

Section E – Product Disposition

1. Import Document Correct: Yes No

2. Labeling Correct: Yes No

4. FDA Registration Number: Ambient Transport Temperature:__________ 0 F

5. Type of Product: Number of Containers: Quantity of Eggs: Product Released to Enter Commerce

(LPS Signature and Date) * Non-Restricted Eggs

(Table Eggs)

Dozens

Restricted Eggs

(Decharacterized/Inedible)

Pounds

Breaking Stock Dozens

I hereby attest that I have acquired an Import Permit from the Animal 

and Plant Health Inspection Service (APHIS), USDA to import table 

eggs, hatching eggs and inedible egg products.

I hereby attest that I have registered with the Food and Drug 

Administration (FDA) for compliance with Bioterrorism Act and the Egg 

Safety Rule.

Refused Entry – Cause and Disposition

LPS-222 (01/2018) 
IMPORT REQUEST

(SHELL EGGS)

INSTRUCTIONS FOR COMPLETION AND DISTRIBUTION: Importers or their agents may obtain this form by contacting the

Livestock, Poultry, and Seed Program offices website at: http://www.ams.usda.gov/LPS

Importer USDA

1.Complete Sections A, B, C, and D. 1. Upon arrival, complete inspection of the product and import 

documents.

2.Mail the completed form to:

Quality Assessment Division

Livestock, Poultry, and Seed Program

Agricultural Marketing Service, USDA

1400 Independence Avenue, SW;

Room 3932-S, Stop 0258

Washington, DC 20250

2. Measure the ambient transport temperature inside the 

conveyance unit.

3. Record results in Section E.

4.When the Import Request submitted is acceptable, enter in the

shell egg import permit number issued (located at the top righthand corner of the form).

To electronically file the form with LPS email to:

QAD.importrequesteggs@ams.usda.gov

5. For a shipment accepted, sign, date and return form to 

importer’s/consignor’s agent.

3.The issued Import Request, Form LPS-222 will be returned by

mail. Alternate arrangements to return the Import Request can be

established. The issued Import Request must be presented to U.S.

Customs and Border Protection officials for conditional release

pending inspection.

6. If the shipment is refused entry, document the cause and 

disposition in the bottom portion of Section E. Submit the

completed form to the LPS office listed to the left and notify the

U.S. Customs and Border Protection official(s) at the point of entry.

 Electronic Filing of Import Request

4. The importer or agent responsible for the shipment must provide

LPS, USDA, with a contact at the shipment destination location.

An LPS representative will schedule an inspection of the product

and applicable import documents.

Follow the guidance provided on the Customs and Trade

Automated Interface Requirements (CATAIR) website listed below

for submission of an Import Request through the ACE system

(Automated Commercial Environment): https://www.cbp.gov/

Search CATAIR for the message set – Shell Egg Inspection.

Contact LPS for the issuance of an Import Request:

(202) 720-2153.

* AMS jurisdiction for inspection is limited to eggs originating from the domesticated chicken, turkey, duck, goose, or guinea.

NOTE: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a 

collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0581-

0113. The time required to complete this information collection is estimated to average .20 hours per response, including the time for reviewing 

instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, 

disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, 

reprisal, or because all or part of an individual's income is derived from any public assistance program (Not all prohibited bases apply to all programs.) 

Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact 

USDA's TARGET Center at (202) 720-2600 (voice and TDD).

To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-

9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider, employer, and lender.

LPS-222 (01/2018) Reverse