Information Collection

Voluntary Disclosure

IC 182261 under ICR 201312-1405-002 · OMB 1405-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0179 can be found here:

Documents and Forms

Document Name Document Type
VoluntaryDisclosure1405-VDIS.doc VoluntaryDisclosureProcessExplanation.doc IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Voluntary Disclosure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 22 CFR 120-130 (To search for a specific CFR, visit the Code of Federal Regulations.)

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: Foreign Affairs

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 850	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,500	500	1,000
Annual IC Time Burden (Hours)	15,000	5,000	10,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
VoluntaryDisclosureProcessExplanation.doc	VoluntaryDisclosure1405-VDIS.doc	10/04/2007

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