Information Collection

Failure to Re-certify Questionnaire

IC 260527 under ICR 202306-0625-002 · OMB 0625-0280.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0625-0280 can be found here:

Documents and Forms

Document Name Document Type
Failure to Re-certify Questionnaire Form and Instruction
Failure to Re-certify Questionnaire instr_DPF failure to re-certify qnr_06-01-23_clean.pdf Form and Instruction
Failure to Re-certify Questionnaire instr_DPF failure to re-certify qnr_06-01-23_clean.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Failure to Re-certify Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Failure to Re-certify Questionnaire	instr_DPF failure to re-certify qnr_06-01-23_clean.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: 300	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	300	300
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	8,934	8,934

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.