Information Collection

Delivery Ticket

IC 20839 under ICR 201302-1651-004 · OMB 1651-0081.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0081 can be found here:

Documents and Forms

Document Name Document Type
Form 6043 Delivery Ticket Form
6043 Delivery Ticket CBP_Form_6043.pdf forms.cbp.gov/pdf/CBP_Form_6043.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Delivery Ticket	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 19 CFR 125

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	6043	Delivery Ticket	CBP_Form_6043.pdf	http://forms.cbp.gov/pdf/CBP_Form_6043.pdf	Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200,000	200,000
Annual IC Time Burden (Hours)	66,000	66,000
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.