On April 16, 2013, USA-ITA joined a Cotton Campaign letter to Secretary of State John Kerry on the Uzbekistan child and forced labor issue. The letter urges the Department of State to place Uzbekistan in Tier 3 in the 2013 Global Trafficking in Persons (TIP) Report unless the Uzbek government invites a high-level, tripartite International Labour Organization (ILO) observer mission to monitor this fall’s cotton harvest. Tier 3 in the TIP Report indicates that a government is not making significant efforts to combat human trafficking and opens up the possibility of sanctions. More information on the Cotton Campaign is available at www.cottoncampaign.org