Form 226 Record of Vessel Forein Repair or Equipment Purchase

DEPARTMENT OF HOMELAND SECURITY

OMB APPROVAL NO. 1651-0027
EXPIRES 07/31/2023

U.S. Customs and Border Protection

RECORD OF VESSEL
FOREIGN REPAIR OR EQUIPMENT PURCHASE
19 CFR 4.7, 4.14

1. Function of this document (Check one)

DECLARATION
ENTRY

(Complete items 1-17 and 20-26)
(Complete items 1-16 and 20-28; 19 if available)

2. Owner Name (Last, First, MI)

Address (Street, City, State, Zip Code)

Phone

3. Represented Locally By: Name

Address (Street, City, State, Zip Code)

Phone

4. Vessel Name

5. IMO No.

9. Foreign Port Arrived From

8. Last U.S. Departure Date
10. Voyage No.

14.
Location (City and Country) and Sailing
Date from that Country

11. U.S. Port of Arrival

12. Port Code

20. Principal Name
Importer No.
Address
Phone No.
21. Surety Name and Number

6. Name of Master

7. Last U.S. Departure Port

19. Entry Number

13. Arrival Date

15.
Description of Work Performed Including Identification of
Materials/Equipment Purchased

16.
Cost in foreign Money

22. Bond:
Single Transaction
Continuous Bond
No.
24.
25.
Exchange
Entered
Rate
U.S. cost

23. Bond Amt.

26.
Duty @ 50% Entered
Cost in U.S. Money

27. TOTAL AMOUNT DECLARED
ITEMS BELOW FOR DECLARATION ONLY, DO NOT USE FOR ENTRY
17. CERTIFICATION OF MASTER
18. CBP USE ONLY
As Master of the said vessel, I hereby subscribe to the
declaration statement on the back of this document.

17A. Signature

17B. Title
17C. Date

CBP Form(2/22)

28. CERTIFICATION OF MASTER OR AUTHORIZED
AGENT OF THE OWNER

I have examined the vessel's log, which indicates:
The undeclared repairs or purchases which I have listed on the back of
Vessel not boarded;
this declaration;
No undeclared repairs or purchases.
Log not examined.

I hereby subscribe to the statement relative to an entry
on the back of this document.

18A. Signature

28A. Signature

18B. Title
18C. Date

Check one:

A. Full and Complete

B. Incomplete

28B. Title
28C. Date
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I. DECLARATION STATEMENT (Applicable to Item 17.)

As master of the said vessel and to the best of
my knowledge and belief, I declare that the itemized list
on the front of this form is a true statement of the cost of
the equipment (including boats) purchased for, or the
repair parts or materials to be used, or the expenses of
repairs made outside the United States upon the said
vessel and that there were no such purchases or
expenses outside the United States except as stated. I
further declare that I will immediately furnish to the
appropriate CBP Officer any information which hereafter
comes to my attention which indicates that the costs
shown on the itemized list are incorrect or that there
are costs which are not itemized. The statement does
not include compensation paid to members of the
regular crew1 in connection with the installation of any
such equipment or making of repairs outside the United
States. I have listed below any items that I believe are
clearly within the purview of 19 U.S.C. 1466(d)(3),
such as dunnage, packing, or temporary devices for the
control of cargo.
I understand that except as provided in section 4. 14
(c), Customs Regulations, the vessel will not be allowed

to clear until estimated duties are deposited or a bond on
CBP Form 301 is given therefore, and that the vessel is
subject to forfeiture if the required report of purchases
and expenses is not made.
I declare that if no items are listed, then no such
equipment or repairs were purchased.
If my vessel is of more than 500 gross tons, I declare
that no work in the nature of an alteration or rebuilding
within the meaning of 46 U.S.C. 12139 and 12151 has
been effected in any foreign port or place which as not
been separately reported. A copy of any such report is
attached. I understand that if a report of such work is not
made, the vessel is subject to seizure by and forfeiture to
the Government and the owner and I are subject to a
penalty of not more than $10,000. Each day of a
continuing violation is a separate violation.
1
Crewmembers signed on a vessel solely for the
purpose of making repairs are not members of the
regular crew within the meaning of 19 U.S.C. 1466(a),
and compensation paid to such crewmembers must be
reported as foreign labor used in making repairs.

Items within purview of 19 U.S.C. 1466(d)(3) if any:

II. ENTRY STATEMENT (Applicable to item 28.)

As master of the said vessel or authorized agent of the
owner of the vessel and to the best of my knowledge and
belief, I declare that (Place "X" in Box "A" or Box "B" in
item 28 on the front of the document):

A. If I have marked Box "A", this entry contains a full
and complete account, together with the cost, at the
places and times mentioned, of the equipment
(including the boats) purchased for, or the repair parts
or materials to be used, or the expenses of the repairs
made in a foreign country for the said vessel.
B. If I have marked Box "B", this entry contains an
incomplete account, together with an estimate of the
total cost of the equipment purchased for, or the
repair parts or materials to be used, or the expenses
of the repairs made in a foreign country, and it is
requested that the determination of duty for the entry
be suspended pending the furnishing of a complete
account of the items liable to duty.

I further declare that if at any time hereafter I discover
any error in the account now produced or receive any
information showing a different state of facts, I will
immediately make the same known to the port director
of CBP. I hereby stipulate that the estimated duties will
be deposited, or bond given therefore, before clearance
is granted except on vessels specially exempted by
regulations of the Secretary of the Treasury, and that all
increased duties that may accrue will be paid when
ascertained.

CBP USE ONLY
Undeclared Repairs or Purchases

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 1651-0027. The estimated average time to complete this application is 2 hours. Obligation to respond is required to obtain benefit. If you have
any comments regarding the burden estimate you can write to U.S. Customs and Border Protection, PRA Clearance Officer, Office of Regulations and Rulings, 90 K Street, NE., Washington DC 20229.
While this form collects information from the public, and the PTA has determined that a Privacy Impact Assessment (PIA) and System of Records Notice (SORN) is required, the information collected is more
business sensitive, and PRIV has recommended that we append a Privacy Notice instead of a Privacy Act Statement.

Privacy Act Statement

Pursuant to 5 U.S.C. §552a(e)(3), this Privacy Act Statement serves to inform you of why CBP is requesting the information on this form.
AUTHORITY: CBP is authorized to collect this information pursuant to 19 U.S.C. §§ 66, 1431, 1448, 1481, 1484, 1505, 1514, 1624, and 2071; 26 U.S.C. § 6109(d); 31 U.S.C. § 7701 (c); Section 203 of the SAFE
Port Act of 2006; section 343(a) of the Trade Act of 2002, as amended by the Maritime Transportation Security Act of 2002; Title 19 of the Code of Federal Regulations (19 C.F.R.) §§24.5, 149.3, 101.9, 103.31(e).

PURPOSE: CBP is requesting this information to allow DHS/CBP to track, control, process and maintain records on all commercial goods imported into the United States, along with carrier, broker, importer, and
other ACE-ITDS Portal user account and manifest information. CBP will use this information to provide for a declaration for foreign repairs and for a reduced duty assessed on any repairs, purchases, or expenses
incurred in a foreign country by a commercial vessel registered in the United States, and used to declare and file entry on equipment, repairs, parts, or materials purchased for the vessel in a foreign country.
ROUTINE USES: Consistent with DHS's information-sharing mission, the information requested on this form may be shared with other DHS Components to carry out national security, law enforcement, immigration,
or other homeland security functions. Information may be shared with appropriate federal, state, local, tribal, territorial, foreign, or international government agencies, This sharing will assist the Department of
Homeland Security to track foreign repairs, purchases, or expenses incurred in a foreign country by a commercial vessel. A complete list of the routine uses can be found in the system of records notice associated
with this form, “Department of Homeland Security/CBP-001 Import Information System. The Department's full list of system of records notices can be found on the Department's website at http://www.dhs.gov/
system-records-notices-sorns.
DISCLOSURE: Providing this information is required for those commercial vessels arriving at the port and which are subject to the requirements of Section 203 of the Security and Accountability for Every Port Act
of 2006 (Pub. L. 109-347, 120 Stat. 1884 (SAFE Port Act)). By submitting your PII in applying for a benefit of a reduction or elimination of duties on repairs, purchases, or expenses, you are giving CBP permission
to use the information for the specific, stated purpose. Failure to provide a response, may result in a higher duty or tariff on repairs, purchases, or expenses; or delay or prevent entry.
CBP Form 2 (2/22)

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