Information Collection

NLR Chemical Sample Shipments (formerly OMB 0694-0086)

IC 191921 under ICR 201304-0694-002 · OMB 0694-0137.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0137 can be found here:

Documents and Forms

Document Name Document Type
0086.pdf Old Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NLR Chemical Sample Shipments (formerly OMB 0694-0086)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 15 CFR 774 1C350

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title:	FR Citation:

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

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

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	16	16
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Old Supporting Statement	0086.pdf	02/04/2010

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