OMB CONTROL NUMBER 1651 0086 2023-2026

Address 20. City Page 1 CBP Form 7401 04/20 Federal Register Notice Information 23. Date of Federal Register Notice Yes 24. Pay. gov Instructions During the Self-Enrollment process a person who is legally authorized to bind the producer must create the username and password. This is crucial because the name of the user will automatically generate as a signature at the end of the certification* The CDSOA certification consists of four pages. Each page must be completed in its entirety before continuing on to the next page. After acknowledging that all the information is true and accurate the Submit Data button must then be selected* Failure to select the Submit Data button could result in the loss of information and non-receipt of the certification* After the certification has been submitted electronically claimants will be given a tracking number in the User Center section* This number will allow claimants to view the status of the certification* If the certification is submitted properly the Form Status will state Accepted* This only means that the certification has been submitted properly not that the certification has been verified for accuracy by CBP. Please note that the session will expire after it has remained idle for a total of 30 minutes which could result in possible data loss. If more time is needed to complete the certification select Request More Time and the time will be reset to 30 minutes. If filing on more than one case a duplicate copy of a submitted certification can be made. Therefore appropriate form adjustments can be completed without having to start the process again* After selecting the Submit Data button and the form has been accepted click Duplicate under Form Actions. To view and/or print a completed certification select View PDF which is also under Form Actions. To view print or duplicate Submitted Forms. If during the completion process of the certification help is needed in understanding a question simply place the cursor over the answer box. By doing so a small text box will appear providing a brief explanation of the information that should be entered* While navigating through the certification please avoid using the Enter key and the browser s Back button* Using these keys could result in incomplete data being transmitted pages being loaded incorrectly and/or the user being logged out of the form* Please use the form s navigation buttons wherever possible. All certifications not submitted electronically should be addressed to U*S* Customs and Border Protection Revenue Division Attn CDSOA Team 6650 Telecom Drive Suite 100 Indianapolis IN 46278 Department of Homeland Security Continued Dumping and Subsidy Offset Act of 2000 Form OMB No* 1651-0086 Exp* 04-30-2020 Claimant s Information 1. Claimant s Name As it appears on USITC List or Association Membership List if applicable If person s name list Last Name First Name 2. Mailing Address 3. Address 2 4. City 5. State 6. ZIP/Postal Code Check here if Mailing Address is a PO Box.