Information Collection

Statement by Ultimate Consignee and Purchaser

IC 4911 under ICR 201504-0694-005 · OMB 0694-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0021 can be found here:

Documents and Forms

Document Name Document Type
Form BIS-711 Statement by Ultimate Consignee and Purchaser Form
BIS-711 Statement by Ultimate Consignee and Purchaser bis711.pdf www.bis.doc.gov/licensing/BIS711.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement by Ultimate Consignee and Purchaser	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 748.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BIS-711	Statement by Ultimate Consignee and Purchaser	bis711.pdf	www.bis.doc.gov/licensing/BIS711.pdf	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 147	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Previously Approved
Annual Number of Responses for this IC	147	147
Annual IC Time Burden (Hours)	39	39
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.