Information Collection

Information Collection for Self-Certification to the EU_U.S. Privacy Shield Framework

IC 222570 under ICR 201607-0625-002 · OMB 0625-0276.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0625-0276 can be found here:

Documents and Forms

Document Name Document Type
Information Collection for Self-Certification to the EU_U.S. Privacy Shield Framework Form
Privacy PS certification form FINAL_07-21-2016.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Information Collection for Self-Certification to the EU_U.S. Privacy Shield Framework	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Privacy	PS certification form FINAL_07-21-2016.docx		Yes	Yes	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,600	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	2,376	2,376
Annual IC Cost Burden (Dollars)	10,167,120	10,167,120

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.