Cbp Form I-418 - Us Customs And Border Protection Page 4
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4PASSENGER LIST - CREW LIST
INSTRUCTIONS
ALL NAMES AND OTHER DATA INSCRIBED ON THIS FORM MUST BE IN THE ENGLISH LANGUAGE
PASSENGERS: Deliver one complete alphabetical passenger list, regardless of nationality, to United States Public
Health Service, and three such lists to the United States Customs and Border Protection, on arrival at first port in the
United States.
CREW LIST VISA APPLICATION: Submit form in duplicate to U.S. consular officer, specifying each alien crewman
not in possession of a valid individual visa or lawful resident alien card.
ARRIVING CREW: Deliver one complete alphabetical crew list, regardless of nationality, to United States Public
Health Service, and three such lists to the United States Customs and Border Protection on arrival at first port in the
United States. Where a crewman is a returning resident, show his/her alien registration receipt number where
prompted for a document number.
CHANGES IN CREW: If an alien crewman is separating from the vessel while in the United States (and will not be
returning), discharge authorization must first be obtained from the United States Customs and Border Protection via
Form I-408 (Application to Pay Off or Discharge Alien Crewman) and the appropriate date of separation must be
recorded in the "Date Separated" column of this form for that crew member. If a crew member joins the vessel while
in the United States, add the crewman's name and other requested information at the next available blank line of the
list and record the appropriate date in the "Date Joined" column.
DEPARTING CREW: When the vessel departs the United States, complete the SUMMARY OF DEPARTURE
section and deliver one complete list (whether or not there have been crew changes) to the United States Customs
and Border Protection at the port of departure.
Paperwork Reduction Act Statement: An agency may not conduct or sponsor an information collection and a person is not required to respond
to this information unless it displays a current valid OMB control number and an expiration date. The control number for this collection is
1651-0103. Obligation to respond is mandatory. The estimated average time to complete this application is 1 hour. If you have any comments
regarding the burden estimate you can write to Paperwork Reduction Act Clearance Officer, U.S. Customs and Border Protection, Office of
Regulations and Rulings, 90 K Street, NE, 10th Floor, Washington DC 20229.
CBP Form I-418 (09/16)
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