Information Collection

Petition for Remission of Mitigation of Forfeitures and Penalties Incurred

IC 20873 under ICR 200808-1651-005 · OMB 1651-0100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0100 can be found here:

Documents and Forms

Document Name Document Type
Form Form 4609 Petition for Remission of Mitigation of Forfeitures and Penalties Incurred Form
Form 4609 Petition for Remission or Mitigation of Forfeitures and CBP Form 4609.pdf www.cbp.gov/xp/cgov/toolbox/forms/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Petition for Remission of Mitigation of Forfeitures and Penalties Incurred	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 19 CFR 171.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 4609	Petition for Remission or Mitigation of Forfeitures and Penalties Incurred	CBP Form 4609.pdf	http://www.cbp.gov/xp/cgov/toolbox/forms/	Yes	No	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	28,000	28,000
Annual IC Time Burden (Hours)	6,500	6,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.