Form
Approved
OMB
2060­
0294
United
States
Environmental
Protection
Agency
Engine
Declaration
Form
Importation
of
Nonroad
Engines
and
Recreational
Vehicles
Subject
to
Federal
Air
Pollution
Regulations
U.
S.
EPA,
Certification
&
Compliance
Division
(
6405­
J),
1200
Pennsylvania
Ave.
NW,
Washington,
DC
20460
This
form
must
be
prepared
and
retained
by
the
importer
for
each
imported
nonroad
or
heavy­
duty
highway
engine,
including
engines
incorporated
into
vehicles
or
equipment.
However,
one
form
per
shipment
may
be
used,
with
attachments
including
all
information
required
to
fully
describe
each
engine
as
below.
Provide
a
duplicate
form
and
attachments
to
the
U.
S.
Customs
Service
(
Customs)
(
42
USC
7522,
7601:
19
CFR
12.74)
upon
request.
Note
:
While
certain
imports
require
specific
written
authorization
from
EPA,
Customs
may
request
EPA
review
of
importer
documentation
and
eligibility
for
any
import
using
this
form.
For
light­
duty
motor
vehicles,
use
form
3520­
1
instead.

Identify
an
engine
type
from
the
following
list
of
engines
subject
to
U.
S.
EPA
certification
requirements,
or
select
from
Codes
17
through
23.
See
the
applicable
regulations
for
the
definitions
of
"
compression­
ignition"
and
"
spark­
ignition."

The
following
types
of
compression­
ignition
engines
(
or
vehicles),
operating
on
any
fuel,
must
meet
emission
standards:
G
A.
Locomotives
or
locomotive
engines.
See
40
CFR
part
92.

G
B.
Marine
compression­
ignition
engines.
See
40
CFR
part
94.

G
C.
Other
nonroad
compression­
ignition
engines.
See
40
CFR
part
89
or
40
CFR
parts
1039
and
1068.
Note
that
40
CFR
part
89
also
applies
to
some
marine
compression­
ignition
engines
below
37
kW.
The
following
types
of
spark­
ignition
engines
(
or
vehicles),
operating
on
any
fuel,
must
meet
emission
standards:

G
E.
Marine
outboard
and
personal
watercraft
engines.
See
40
CFR
part
91.

G
F.
Recreational
vehicles,
including
snowmobilies,
all­
terrain
vehicles,
and
certain
high­
speed
utility
vehicles.
These
standards
apply
to
50
percent
of
models
produced
in
2005
and
100
percent
of
models
produced
in
2006.
See
40
CFR
parts
1051
and
1068.

G
G.
Other
nonroad
spark­
ignition
engines
at
or
below
19
kW
(
or
at
or
below
30
kW
if
total
displacement
is
at
or
below
1000
cc).
See
40
CFR
part
90.

G
H.
Other
nonroad
spark­
ignition
engines
above
19
kW
(
or
above
30
kW
if
total
displacement
is
above
1000
cc).
See
40
CFR
parts
1048
and
1068.

Penalties:
(
1)
Anyone
who
knowingly
makes
any
false
or
fraudulent
statement,
or
omits
or
conceals
a
material
fact
can
be
fined
up
to
$
270,000
or
imprisoned
for
up
to
5
years,
or
both
(
18
USC
1001).
Anyone
who
illegally
imports
an
engine
may
be
fined
up
to
$
32,500
per
engine
(
42
U.
S.
C.
7524),
and
may
be
subject
to
forfeiture
of
the
entire
importation
bond,
if
applicable
(
40
CFR
1068.335,
inter
alia),
and
the
engine
is
subject
to
seizure
by
Customs
(
19
CFR
162.21).
(
2)
Anyone
who
distributes
in
commerce,
sells,
offers
for
sale,
or
introduces
into
commerce
an
engine
subject
to
EPA
certification
requirements
but
not
covered
by
a
certificate
of
conformity,
may
be
fined
up
to
$
32,500
per
violation
(
40
CFR
1068.101(
a),
inter
alia).

Description
and
Declaration
of
Nonroad
Engine,
Heavy­
duty
Highway
Engine,
or
Engine
Incorporated
into
Vehicle
or
Equipment
Port
code:
Entry
date:
Customs
entry
no:
Engine
manufacturer:
Engine
model,
model
no.
and
serial
number:

Engine
build
date:

month
year
G
on
engine
G
other
(
explain)
Power
rating
(
see
the
applicable
regulation):

G
kW
G
Hp
Equipment
manufacturer,
model,
serial
number
and
type
of
equipment:

Names,
Addresses,
and
Telephone
Numbers
of
Relevant
Parties
Certification:
I
certify
that
I
have
read
and
understand
the
purpose
of
this
form,
the
penalties
for
falsely
declaring
information,
or
for
providing
misleading
information,
or
for
concealing
a
material
fact.
The
information
I
have
provided
is
correct,
and
all
required
attachments
are
appended
to
this
form.
I
authorize
EPA
Enforcement
Officers
to
conduct
inspections
or
testing
permitted
by
the
Clean
Air
Act.
I
am
the
owner,
importer,
or
agent
for
the
owner
or
importer.

Importer
(
name,
address,
phone):
Owner
(
name,
address,
phone):
Signature:

Date:

Name,
company
and
phone
(
type
or
print):
Check
the
box
below
indicating
the
provisions
under
which
you
are
importing
this
engine.

G
1.
U.
S.
certified
engine,
or
engine
installed
in
a
certified
vehicle,
bearing
a
U.
S.
EPA
emission
control
label
in
English.
This
also
applies
to
a
loose
engine
for
installation
in
a
recreational
vehicle,
where
the
engine
has
the
appropriate
label.
Permanent
Exemptions
for
Nonconforming
Engines
G
2.
National
security.
Importing
and
labeling
an
engine
subject
to
the
provisions
of
40
CFR
1068.315(
a).
For
certain
types
of
tactical
equipment,
this
exemption
may
require
prior
EPA
approval.
See
also
40
CFR
85.1511(
c)(
1),
89.611(
c)(
1),
90.612(
c)(
1),
91.1008,
92.908,
94.908.

G
3.
Manufacturer­
owned
engine.
Importing
and
labeling
an
engine
by
an
engine
manufacturer
holding
a
current
U.
S.
EPA
certificate
of
conformity,
subject
to
the
provisions
of
40
CFR
1068.315(
b).
See
also
40
CFR
89.906,
90.906,
91.1006,
92.906,
94.906.

G
4.
Replacement
engine.
Importing
and
labeling
an
engine
by
an
engine
manufacturer
holding
a
current
U.
S.
EPA
certificate
of
conformity,
subject
to
the
provisions
of
40
CFR
1068.315(
c).
See
also
40
CFR
89.1003(
b)(
7),
90.1003(
b)(
5),
91.1103(
b)(
4),
94.1103(
b)(
3).
This
exemption
does
not
apply
to
locomotive
engines.

G
5.
Extraordinary
circumstances.
Importing
and
labeling
an
engine
subject
to
the
provisions
of
40
CFR
1068.315(
d).
This
exemption
requires
prior
EPA
approval.
See
also
40
CFR
85.1511(
c)(
2),
89.611(
c)(
2),
90.612(
c)(
2).

G
6.
Small­
business
hardship.
Importing
and
labeling
an
engine
subject
to
the
provisions
of
40
CFR
1068.250.
This
exemption
requires
prior
EPA
approval.

G
7.
Equipment­
manufacturer
hardship.
Importing
and
labeling
an
engine
subject
to
the
provisions
of
40
CFR
1068.315(
e).
Importing
engines
under
this
exemption
requires
prior
EPA
approval.
See
also
40
CFR
89.102(
f),
94.209(
b).
This
may
also
apply
to
secondary
engine
manufacturers.

EPA
Form
3520­
21
Pg
1
of
2
G
8.
Identical
configuration.
Importing
an
engine
for
purposes
other
than
resale
subject
to
the
provisions
of
40
CFR
1068.315(
f).
Such
an
engine
must
be
identical
in
all
material
respects
to
a
U.
S.­
certified
version
as
demonstrated
by
letter
from
the
engine­
manufacturer
contact
on
the
Customs
list,
subject
to
EPA
review
at
Customs'
discretion.
See
also
40
CFR
89.611(
c)(
3),
90.612(
c)(
3),
91.704(
c)(
2).
This
exemption
does
not
apply
to
motor­
vehicle,
locomotive,
or
marine
compression­
ignition
engines.

G
9.
Ancient
engine.
Importing
an
engine
first
manufactured
at
least
21
years
earlier
that
is
still
in
its
original
configuration,
subject
to
the
provisions
of
40
CFR
1068.315(
g).
See
also
40
CFR
89.611(
f)(
2)
and
90.612(
f)(
2).
This
exemption
does
not
apply
to
motor­
vehicle,
locomotive,
or
marine
engines.
Temporary
Exemptions
for
Nonconforming
Engines
The
following
temporary
exemptions
apply
for
importing
nonconforming
engines.
The
U.
S.
Customs
Service
may
require
a
specific
bond
amount
to
make
sure
you
comply
with
applicable
requirements.
Each
temporary
exemption
requires
prior
EPA
approval.

G
10.
Repairs
or
alterations.
Importing
an
engine
subject
to
the
provisions
of
40
CFR
1068.325(
a).
See
also
40
CFR
85.1511(
b)(
1),
89.611(
b)(
1),
90.612(
b)(
1),
91.704(
b)(
1),
92.804(
b)(
1),
94.804(
b)(
1).

G
11.
Testing.
Importing
an
engine
subject
to
the
provisions
of
40
CFR
1068.325(
a).
See
also
40
CFR
85.1511(
b)(
2),
89.611(
b)(
2),
90.612(
b)(
2),
91.704(
b)(
2),
92.804(
b)(
2),
94.804(
b)(
2).

G
12.
Display.
Importing
an
engine
subject
to
the
provisions
of
40
CFR
1068.325(
a).
See
also
40
CFR
85.1511(
b)(
4),
89.611(
b)(
4),
90.612(
b)(
3),
91.704(
b)(
3),
92.804(
b)(
3),
94.804(
b)(
3).

G
13.
Export.
Importing
an
engine
to
a
country
with
applicable
emission
standards
that
differ
from
EPA
standards,
subject
to
the
provisions
of
40
CFR
1068.325(
a).
Both
the
engine
and
its
container
must
be
labeled
or
tagged
to
identify
them
as
solely
for
export.
See
also
40
CFR
85.1709,
89.909,
90.909,
91.1009,
92.909,
94.909.

G
14.
Diplomatic
or
military.
Importing
an
engine
subject
to
the
provisions
of
40
CFR
1068.325(
a).
This
exemption
is
limited
to
members
of
the
armed
forces
or
personnel
of
a
foreign
government
on
assignment
to
the
U.
S.
for
whom
free
entry
has
been
authorized
in
writing
by
the
U.
S.
Department
of
State,
or
for
members
of
the
armed
forces
of
a
foreign
country
with
official
orders
for
duty
in
the
U.
S.
See
also
40
CFR
85.1511(
d),
89.611(
d),
90.612(
d),
91.705(
d).
This
exemption
does
not
apply
to
locomotive
or
marine
compression­
ignition
engines.

G
15.
Delegated
assembly.
Importing
an
engine
subject
to
the
provisions
of
40
CFR
1068.325(
f).
Importation
of
Engines
Not
Yet
Subject
to
U.
S.
EPA
Emission
Standards
G
16.
Engine
manufactured
before
emission
standards
started
to
apply.
These
engines
must
generally
have
already
been
placed
into
service.
A
A
recreational
marine
compression­
ignition
engine
or
a
recreational
vehicle
imported
under
this
provision
must
be
manufactured
before
January
1,
2006
or
January
1,
2007,
respectively.

G
17.
Sterndrive/
inboard
marine
engines.
For
spark­
ignition
engines
only.
Importation
of
Engines
Excluded
from
U.
S.
EPA
Emission
Standards
G
18.
Competition
engine.
Engine
must
be
used
solely
for
competition,
subject
to
the
provisions
of
40
CFR
1068.310(
a).
Importing
an
engine
under
this
exclusion
or
exemption
requires
prior
EPA
approval.
See
also
40
CFR
85.1511(
e),
89.611(
e),
90.612(
e),
91.705(
e),
94.804(
c)(
2).

G
19.
Stationary
engine.
Engine
must
be
used
for
a
stationary
purpose
and
remain
at
a
single
site
at
a
building,
structure,
facility
or
installation
for
more
than
12
consecutive
months
throughout
its
lifetime,
or
remain
at
a
seasonal
source
during
its
full
annual
operating
period
(
40
CFR
1068.30,
definition
of
"
nonroad
engine."
Starting
January
1,
2004
for
spark­
ignition
engines
above
19
kW
and
January
1,
2006
for
all
compression­
ignition
engines,
the
engine
must
be
labeled
(
see
40
CFR
1039.20
or
1048.20).
Penalties:
Any
person
who
circumvents
or
attempts
to
circumvent
stationary
engine
residence
time
requirements
may
be
fined
up
to
$
32,500
per
day
of
violation
(
40
CFR
1068.101(
b)(
3)).

G
20.
Underground
mining.
Engine
must
be
used
in
underground
mining
and
regulated
by
the
Mining
Safety
and
Health
Administration
(
MSHA)
(
40
CFR
89.1
and
1039.5;
30
CFR
7,
31,
32,
36,
56,
57,
70,
75).
For
compression­
ignition
engines
only.

G
21.
Aircraft.

G
22.
Spark­
ignition
hobby
engine.
For
a
spark­
ignition
engine
powering
a
reduced­
scale
model
of
a
vehicle
not
capable
of
transporting
a
person.

G
23.
Compression­
ignition
hobby
engines.
For
a
compression­
ignition
engine
with
a
per­
cylinder
displacement
below
50
cc.
Exemptions
for
Specific
Engine
Categories
G
24.
Transition
Program
for
Equipment
Manufacturers.
For
equipment
with
compression­
ignition
engines,
subject
to
the
restrictions
of
40
CFR
89.102
or
40
CFR
1039.625
and
1039.626.

G
25.
Personal­
use
exemption
for
small
spark­
ignition
engines.
For
three
or
fewer
nonroad
spark­
ignition
engines
at
or
below
19
kW
imported
for
purposes
other
than
resale,
where
the
importer
has
never
previously
used
this
exemption.
See
40
CFR
90.611.

26.
Engines
imported
by
an
Independent
Commercial
Importer
recognized
by
EPA.
Only
for
Categories
A
and
D
above.

G
26a.
For
modifications
under
a
valid
EPA
certificate
issued
for
the
specific
make,
model,
and
model
year
according
to
40
CFR
85.1505
or
89.605.

G
26a.
For
modification
and
testing
according
to
40
CFR
85.1509
or
89.609.
The
imported
engine
must
be
at
least
6
years
old.

G
26c.
For
precertification
testing
to
obtain
an
EPA
certificate
under
40
CFR
85.1511(
b)(
3)
or
89.611(
b)(
3).
Customs
bond
required.
Specify
location
of
storage
(
required):
Other
Special
Cases
G
27.
Temporary
importation
by
a
foreign
national.
For
personal
use
by
an
individual,
nonresident
importer
for
a
period
not
to
exceed
that
authorized
by
Customs.

G
28.
Other
exemption.
Describe
the
exemption
and
identify
the
regulatory
cite:__________________________________________________
This
information
is
collected
to
ensure
that
engines
imported
into
the
U.
S.
conform
with
applicable
emission
requirements.
Responses
to
this
collection
are
mandatory
(
40
CFR
1068.305(
a),
inter
alia
and
Clean
Air
Act
sections
202,
203,
and
208).
Information
submitted
to
the
Agency
under
a
claim
of
confidentiality
will
be
safeguarded
according
to
policies
set
forth
in
Title
40,
Chapter
1,
Part
2,
Subpart
B.
The
public
reporting
and
recordkeeping
burden
for
this
collection
of
information
is
estimated
to
average
30
minutes
per
response.
Burden
means
the
total
time,
effort,
or
financial
resources
expended
by
persons
to
generate,
maintain,
retain,
or
disclose
or
provide
information
to
or
for
a
Federal
agency.
This
includes
the
time
needed
to
review
instructions;
develop,
acquire,
install,
and
utilize
technology
and
systems
for
the
purposes
of
collecting,
validating,
and
verifying
information,
processing
and
maintaining
information,
and
disclosing
and
providing
information;
adjust
the
existing
ways
to
comply
with
any
previously
applicable
instructions
and
requirements;
train
personnel
to
be
able
to
respond
to
a
collection
of
information;
search
data
sources;
complete
and
review
the
collection
of
information;
and
transmit
or
otherwise
disclose
the
information.
An
agency
may
not
conduct
or
sponsor,
and
a
person
is
not
required
to
respond
to,
a
collection
of
information
unless
it
displays
a
currently
valid
OMB
control
number.
Send
comments
on
the
Agency's
need
for
this
information,
the
accuracy
of
the
provided
burden
estimates,
and
any
suggested
methods
for
minimizing
respondent
burden,
including
through
the
use
of
automated
collection
techniques
to
the
Director,
Collection
Strategies
Division,
U.
S.
Environmental
Protection
Agency
(
2822),
1200
Pennsylvania
Ave.,
NW,
Washington,
DC
20460.
Include
the
OMB
control
number
in
any
correspondence.
Do
not
send
the
completed
form
to
this
address.

EPA
Form
3520­
21
(
Rev.
1­
01)
Pg
2
of
2
