| Responsibility of the USPPI 30.3(e)(1)
| Responsibility of the authorized agent 30.3(e)(2)
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| (A) Name, address of origin, contact name and contact phone of the USPPI [30.6(a)(1)] | (A) Date of export [30.6(a)(2)].
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| (B) USPPI identification number [30.6(a)(1)] | (B) Ultimate consignee [30.6(a)(3)].
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| (C) U.S. State of origin [30.6(a)(4)] | (C) Ultimate consignee type [30.6(a)(28)].
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| (D) Domestic or foreign indicator [30.6(a)(11)] | (D) Country of ultimate destination [30.6(a)(5)].
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| (E) Commodity classification number [30.6(a)(12)] | (E) Method of transportation [30.6(a)(6)].
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| (F) Commodity description [30.6(a)(13)] | (F) Conveyance name/carrier name [30.6(a)(7)].
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| (G) Primary unit of measure [30.6(a)(14)] | (G) Carrier identification [30.6(a)(8)].
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| (H) Primary quantity [30.6(a)(15)] | (H) Port of export [30.6(a)(9)].
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| (I) Value [30.6(a)(17)] | (I) Related party indicator [30.6(a)(10)].
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| (J) Export information code [30.6(a)(18)] | (J) Shipping weight [30.6(a)(16)].
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| (K) Hazardous material indicator [30.6(a)(21)] | (K) Shipment Reference Number [30.6(a)(19)].
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| (L) Inbond code [30.6(a)(22)] | (L) License code/license exemption code [30.6(a)(23)].
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| (M) License code/license exemption code [30.6(a)(23)] | (M) Routed export transaction indicator [30.6(a)(24)].
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| (N) FTZ identifier, if applicable. [30.6(b)(3)] | (N) Filing option indicator [30.6(a)(27)].
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| (O) Export license number/CFR citation/KPC number, if applicable. [30.6(b)(5)] | (O) Authorized agent and authorized agent identification [30.6(b)(1)].
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| (P) Export Control Classification Number (ECCN), if applicable. [30.6(b)(6)] | (P) Intermediate consignee, if applicable. [30.6(b)(2)].
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| (Q) Secondary units of measure, if applicable. [30.6(b)(7)] | (Q) Foreign port of unlading, if applicable. [30.6(b)(4)].
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| (R) Secondary quantity, if applicable. [30.6(b)(8)] | (R) Export license number/CFR citation/KPC number, if applicable. [30.6(b)(5)].
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| (S) Vehicle Identification Number (VIN)/Product ID, if applicable. [30.6(b)(9)] | (S) Transportation Reference Number, if applicable. [30.6(b)(14)].
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| (T) Vehicle ID qualifier, if applicable. [30.6(b)(10)] | (T) License value, if applicable. [30.6(b)(15)].
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| (U) Vehicle title number, if applicable. [30.6(b)(11)]
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| (V) Vehicle title state code, if applicable. [30.6(b)(12)]
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| (W) Entry number, if applicable. [30.6(b)(13)]
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| (X) License value, if applicable. [30.6(b)(15)] | |