Form ITA-4141P Steel Import License

Steel Import License Application Form Instructions 
The attached form is the same form included under the automated, on‐line application system. It should 
only be utilized if the Steel Import Licensing System is inoperable or user computer systems are 
nonfunctional, AND a shipment is due for importation at that time.  
Below are the field descriptions and requirements for the form. Upon completion, please fax a clear and 
legible copy to 202‐501‐1377, ATTN: SIMA or e‐mail a scanned copy to steel_license@ita.doc.gov,  
Subject: Steel License Application.  
Shipper and Shipment Information
1.

Applicant Company:

Name of company responsible for shipment (this should be the company of
the registered user).

2.

Customs Entry
Number:

Input if known at time of application. This number is optional.

3.

License Number:

Generated by the Licensing System upon submission.

4.

Contact Name:

Name of applicant

5.

Address of Applicant:

Applicant’s business address. Must be the US street address used when
registering in the licensing system. A PO Box address is not acceptable.

6.

Contact Phone:

Contact telephone number of the registered user.

7.

Contact Fax:

Contact fax number of the registered user.

8.

Contact Email:

E-mail address of registered user (same as User ID/Username).

9.

Importer Name:

Name of Importer of Record.

10. Exporter Name:

Name of Exporter.

11. Manufacturer Name:

Name of manufacturer(s) of the product(s) or shipper(s). May list multiple
manufacturers or unknown.

12. Country of Origin:

Country in which the product(s) were manufactured. Please spell country
name (no abbreviations).

13. Country of
Exportation:

Country from which the product(s) were exported. Please spell country name
(no abbreviations).

14. Expected Port of
Entry:

Expected port of entry. Please write port city and state.

15. Expected Date of
Export:

Date product(s) expected to be shipped from the country country of
exportation. Must be in mm/dd/yyyy format (ex:07/04/2009).

16. Date of Importation:

Date product(s) expected to enter the United States. Must be in mm/dd/yyyy
format. The date should be as accurate as possible.

17. Date of Application:

Date application for the license was made. License may be filed up to sixty
days prior to the expected date of importation, and until the date of filing of the
Customs Entry Summary documentation (CF-7501). Date is automatically
generated on submission.

18. Date License Valid
From:

License will be valid for seventy-five days from the date of application. This
date is automatically generated upon submission.

19. Date License Valid
Through:

Date License will expire. Date is automatically generated on submission.

Product Information for Products One through Ten*
HTS Number:

Harmonized Tariff Schedule (HTS) number that most closely describes the
product to be imported. This should match the HTS used on the CF7501.

Product Description:

Description of the product taken from the HTS list.

Remedy Category:

Category assigned to the product based on the Product HTS. (Not required)

Volume (Quantity):

The weight of the product in kilograms at time of entry (net weight).

Unit:

The unit of measurement must be listed in kilograms.

Customs Value (U.S.$):

Entered value of this product in U.S. dollars; not invoiced value (It should
not include duty, brokerage fees, or freight).

Unit Value ($/mt):

Unit value (Not required). Will be calculated by the licensing system upon
submission.

* Information is required for Products Two through Ten only if additional products are included on the
application.

Please remember to mark the box at the bottom of the application form to certify the
information supplied on the application form.

OMB NO: 0625-0245
Form Expires: xx/xx/xxxx

IMPORTADMINISTRATION
STEELIMPORTLICENSE
Foreign Trade Zone

01)

Applicant
Company:

02)

Customs Entry
Number:

04)

Contact Name:

05)

Address of Applicant:

07)

06)

Contact Phone:

03)

License Number:

Contact Fax:

08)

Contact Email:

09)

Importer Name:

10)

Exporter Name:

11)

Manufacturer Name:

12)

Country of Origin
(Customs Basis):

13)

Country of
Exportation:

14)

Expected Port of Entry:

15)

Expected Date of
Export:

16)

Expected Date of
Importation:

17)

Date of Application:

18)

Date License Valid
From:

19)

Date License Valid
Through:

21)

Product Description:

PRODUCT ONE
20)

HTS Number:

23)

Volume (Kilograms): 24)

Unit:

25)

Customs Value
(U.S.$):

22)

Product
Category:

26)

Unit Value ($/mt):

29)

Product
Category:

Kilograms
PRODUCT TWO
27)

HTS Number:

28)

Product Description:

30)

Volume (Kilograms): 31)

Unit:

32)

Customs Value
(U.S.$):

33)

Unit Value ($/mt):

36)

Product
Category:

40)

Unit Value ($/mt):

43)

Product
Category:

47)

Unit Value ($/mt):

50)

Product
Category:

54)

Unit Value ($/mt):

57)

Product
Category:

61)

Unit Value ($/mt):

64)

Product
Category:

Kilograms
PRODUCT THREE
34)

HTS Number:

35)

37)

Volume (Kilograms): 38)

Product Description:

Unit:

39)

Customs Value
(U.S.$):

Kilograms
PRODUCT FOUR
41)

HTS Number:

42)

44)

Volume (Kilograms): 45)

Product Description:

Unit:

46)

Customs Value
(U.S.$):

Kilograms
PRODUCT FIVE
48)

HTS Number:

49)

51)

Volume (Kilograms): 52)

Product Description:

Unit:

53)

Customs Value
(U.S.$):

Kilograms
PRODUCT SIX
55)

HTS Number:

56)

58)

Volume (Kilograms): 59)

Product Description:

Unit:

60)

Customs Value
(U.S.$):

Kilograms
PRODUCT SEVEN
62)

HTS Number:

63)

Product Description:

65)

Volume (Kilograms): 66)

Unit:

67)

Customs Value
(U.S.$):

68)

Unit Value ($/mt):

71)

Product
Category:

75)

Unit Value ($/mt):

78)

Product
Category:

82)

Unit Value ($/mt):

85)

Product
Category:

89)

Unit Value ($/mt):

Kilograms
PRODUCT EIGHT
69)

HTS Number:

60)

72)

Volume (Kilograms): 73)

Product Description:

Unit:

74)

Customs Value
(U.S.$):

Kilograms
PRODUCT NINE
76)

HTS Number:

77)

79)

Volume (Kilograms): 80)

Product Description:

Unit:

81)

Customs Value
(U.S.$):

Kilograms
PRODUCT TEN
83)

HTS Number:

84)

86)

Volume (Kilograms): 87)

Product Description:

Unit:

Kilograms

88)

Customs Value
(U.S.$):

Before submitting this form to the Department of Commerce, you must check the box below to certify that,
as a representative of the manufacturer or importer, the above information is accurate and complete to
the best of your knowledge.
I certify that the above information is accurate and complete to the best of my knowledge.
I also understand that certain information on this license regarding volume (or quantity), value and
country of origin will be posted on public website aggregated with similar data from other licenses.
Public reporting for this collection of information is estimated to be 10 minutes per response, including the
time for reviewing instructions, and completing and reviewing the collection of information. All responses
to this collection of information are required, and will be provided confidentially to the extent allowed by
law. Notwithstanding any other provision of law, no person is required to respond to nor shall a person be
subject to a penalty for failure to comply with a collection of information subject to the requirements of the
Paperwork Reduction Act unless that collection of information displays a current valid OMB Control
Number. Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Reports Clearance Officer,
International Trade Administration, Department of Commerce, Room 4001, 14th and Constitution Avenue,
N.W., Washington, D.C. 20230.