Form CBP-1304 Crew's Effects Declaration

DEPARTMENT OF HOMELAND SECURITY

OMB 1651-0020
Exp. 10-31-2008

U.S. Customs and Border Protection

Page No.

CREW'S EFFECTS DECLARATION
19CFR 4.7(a), 4.7a(b)
1. Name of ship

3. No.

4. Family name, given name

2. Nationality of ship

5. Rank or rating 6. Articles acquired abroad by officers and members
of the crew (except those exclusively for use on
voyage or cleared through U.S. Customs and
Border Protection authorities)

7. No. of crewmember's
declaration of articles
intended to be landed
(if none, show "NONE
opposite name)

8. Date and signature by master, authorized agent or officer
PAPERWORK REDUCTION ACT NOTICE: This request is in accordance with Paperwork Reduction Act. We ask for the information in order to carry out the
U.S. Customs and Border Protection Laws of the United States. This form is used by the master of vessel to record and list the crew's effects that are
accompanying them on the trip but which are defined as merchandise under U.S. statutes and therefore must be manifested. It is mandatory. The estimated
average burden associated with this collection of information is 60 minutes per respondent depending on individual circumstances. Comments concerning the
accuracy of this burden estimate and suggestions for reducing this burden should be directed to CBP, Information Services Division, Washington, DC 20229,
and to the Office of Management and Budget, Paperwork Reduction Project (1651-0020), Washington, DC 20503.

CBP Form 1304 (07/02)