HS 7a Box 7 Temporary Importation of a Motor Vehicle

TEMPORARY IMPORTATION OF A MOTOR VEHICLE
UNDER BOX 7 ON THE HS-7 FORM

OMB No. 2127-0002
Exp. 04-30-2017

IMPORTER OF RECORD Company: _________________________________________________________
Contact Person: _____________________________________ E-Mail Address: _________________________
Street Address: _____________________________________________________________________________
City: _________________________________________ State: ___________ ZIP: _______________________
Tel: (________) ______________________________ Fax: (________) ________________________________
BROKER INFORMATION Company: ______________________________________ Filer Code: _________
Contact Person: _____________________________________ E-Mail Address: _________________________
Street Address: _____________________________________________________________________________
City: _________________________________________ State: ___________ ZIP: _______________________
Tel: (________) ______________________________ Fax: (________) ________________________________
VEHICLE INFORMATION Make: ____________________________ Model: _________________________
Model Year: _____________ VIN: _____________________________________________________________
PURPOSE OF IMPORT _____________________________________________________________________
__________________________________________________________________________________________
Photos showing the vehicle should be attached.
HIGHWAY USE  Yes  No If highway use is requested, state the number of miles and why it is required:
___________ Miles ________________________________________________________________________
__________________________________________________________________________________________
DISPOSITION OF VEHICLE

 Export
 Destroy under Customs Supervision

Date: ___________________
Date: ___________________

Note: Proof of export or destruction must be submitted to this office not later than 30 days following the end of the
period for which the vehicle has been approved to be admitted to the United States.
For questions call:
(202) 366-5291
E-mail request to:

U.S. Department of Transportation
National Highway Traffic Safety Administration (NHTSA)
1200 New Jersey Ave SE, West Building- 4th Floor, NVS-223
Washington, D.C. 20590
importcertification@dot.gov

NOTE: Approval permits importation for up to one year. If additional time is required, a request for an extension
must be submitted in writing along with a copy of the prior approval letter no later than 30 business days before
the expiration date. Extensions may be granted for a total of up to 5 years. If permission is sought for more than
one vehicle, attach an addendum with year, make, model, and VIN for each vehicle. All requests submitted to this
office must allow 30 business days for determination. All sections of this form must be complete and submissions
in writing must be legible (49 CFR Part 551.31). It is the importer’s responsibility to make sure all Box 7
approvals are current with NHTSA. If the vehicle is to be imported for testing to one or more of the Federal motor
vehicle safety standards (FMVSS), the application should identify the specific standard(s) and the name and
address of the laboratory or other facility at which the testing will be performed.
PAPERWORK REDUCTION ACT STATEMENT: A federal agency may not conduct or sponsor, and a person is not 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. The OMB Control Number for this information collection is 2127-0002. The information collected on this form is necessary to obtain a letter from NHTSA
granting permission to temporarily import, for purposes of research, investigations, demonstrations or training, or competitive racing events, a motor vehicle or motor vehicle equipment that does not conform to all applicable Federal motor vehicle safety standards.
The information is used to identify the vehicle or equipment to be imported and verify that it is being imported for a permitted purpose. We estimate that it will take approximately 5 minutes to complete the form. The information collected is necessary to obtain a
benefit under 49 U.S.C. 30114 and 49 CFR 591.5(j)(1) and 591.6(f)(1). Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer,
National Highway Traffic Safety Administration, 1200 New Jersey Ave, S.E., Room W45-205, Washington, DC, 20590.