Epa Form 3520-1 - U.s. Environmental Protection Agency Declaration Form - 2001 Page 2

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United States

Environmental Protection Agency

Washington, DC 20460

Excluded vehicles

code L - racing vehicle as determined by EPA and may not be registered or licensed for use on or operated on public roads or highways (40 CFR

85.1511(e)). EPA letter of approval must be attached to this form.

code U - motorcycle, scooter or moped with engine displacement less than 50cc and with rated speed greater than 5000 rpm.

code W - non-chassis-mounted engine to be used in a light-duty vehicle or light-duty truck or motorcycle.

code X - offroad vehicle not subject to nonroad requirements shown on EPA form 3520-21, including motorcycles, multi-purpose vehicles, or heavy-

duty engines for use in, or installed in an offroad vehicle, imported in accordance with 40 CFR 85.1703. Importer must attach proof that vehicle lacks safety or

other features required for safe and practical street operation, including evidence of inordinate size or weight preventing highway use. The vehicle may not be

registered for, or licensed for, or capable of use on, or operated on the public roads or highways. Multi-purpose vehicles capable of being operated on the

public roads or highways may not be imported using this code, regardless of intended use.

code Y - unregulated fuel - a vehicle or heavy-duty engine that: (1) for model years earlier than 1991 operates on fuel other than gasoline or diesel fuel, or

(2) for 1991- 1996 model years operates on fuel other than gasoline or diesel or methanol fuel, or (3) for 1997 and later model years operates on fuel other

than gasoline or diesel or methanol or compressed natural gas (CNG) or liquid petroleum gas (LPG), including propane.

Temporary imports

code G - imported for repair or alteration in accordance with 40 CFR 85.1511(b)(1). May not be registered or licensed for use on, or operated on public

roads or highways, or sold or leased in the U.S. Customs bond required. EPA requests that the vehicle be bonded for at least its full value.

code I - imported for testing purposes in accordance with 40 CFR 85.1511(b)(2). May not be registered or licensed for use on or operated on public roads

or highways (except operation that is integral to the purpose of the testing program) or sold or leased in the U.S. Customs bond required. EPA requests that

the vehicle be bonded for at least its full value.

code K - imported for display (solely for public or business purposes, and not for private purposes or U.S. market sales promotions) in accordance with 40

CFR 85.1511(b)(4). May not be registered or licensed for use on or operated on public roads or highways (except operation that is integral to the purpose of

the display) or sold or leased in the U.S. Customs bond required. EPA requests that the vehicle be bonded for at least its full value.

code N - imported for a period up to one year by member of the armed forces or personnel of a foreign government on assignment to the U.S., for whom

free entry has been authorized in writing by the U.S. Department of State, or a member of the armed forces of a foreign country with official orders for duty in

the U.S.

by nonresident for personal use by an individual for a period up to a year.

code O - imported

Independent commercial importer (ICI) imports

code A - imported by an ICI for modifications in accordance with a valid EPA certificate of conformity issued for the specific make, model, and model year

in accordance with 40 CFR 85.1505.

code C - imported by an ICI for modification and testing in accordance with 40 CFR 85.1509. Vehicle or heavy-duty engine must be at least 6 years old.

code J - imported by an ICI for the purpose of pre-certification testing in order to obtain an EPA certificate of conformity. No EPA approval is required.

The ICI has 180 days to obtain a certificate or export (40 CFR 85.1511(b)(3)). Customs bond required.

code Z - imported by an ICI for the purpose of modifying to be identical to an original equipment manufacturer (OEM) certified version in accordance with

written instructions from the OEM that are specific to the vehicle or heavy-duty engine being imported.

OEM imports

code H - imported, owned, and controlled directly by an original equipment manufacturer (OEM) on EPA list of OEM certificate holders provided to

Customs, for research, development or testing purposes in accordance with 40 CFR 85.1706. This is a temporary exemption without time limit. If the vehicle

is subsequently covered by an applicable EPA certificate of conformity, it is released from the restrictions of this exemption.

code Q - imported, owned, and controlled directly by an original equipment manufacturer (OEM) on EPA list of OEM certificate holders provided to

Customs, for storage pending receipt of the applicable EPA certificate of conformity, which is pending and imminent. Use of this code is no longer permitted

once EPA has issued the applicable certificate of conformity.

Paperwork Reduction Act Notice

This information is collected to ensure that motor vehicles and engines imported into the U.S. conform with applicable emission requirements. Responses to this

collection are mandatory (40 CFR 85.1501 et seq., and Clean Air Act Sections 203 and 208). Information submitted to the Agency under a claim of confidentiality will

be safeguarded according to policies set forth in Title 40, Chapter 1, Part 2, Subpart B. The public reporting and recordkeeping burden for this collection of information

is estimated to average 30 minutes per response. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or

disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and

systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust

the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search

data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a

person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments on the Agency's need for this

information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated

collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822), 1200 Pennsylvania Ave., NW, Washington, D.C.

20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

EPA Form 3520-1 (Rev. 11-01) Previous editions are obsolete

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