STATEMENT BY FOREIGN CONSIGNEE IN SUPPORT OF SPECIAL LICENSE APPLICATION

ICR 199105-0694-002

OMB: 0694-0050

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0694-0050 199105-0694-002
Historical Active 198904-0694-017
DOC/BIS
STATEMENT BY FOREIGN CONSIGNEE IN SUPPORT OF SPECIAL LICENSE APPLICATION
Revision of a currently approved collection   No
Regular
Approved without change 08/23/1991
Retrieve Notice of Action (NOA) 05/17/1991
  Inventory as of this Action Requested Previously Approved
08/31/1994 08/31/1994 08/31/1991
821 0 645
438 0 343
0 0 0

FORM BXA-6052P IS USED AS SUPPORTING DOCUMENTATION FOR 3 OF BXA'S SPECIAL LICENSES: PROJECT LICENSE, DISTRIBUTION LICENSE, SERVICE SUPPLY LICENSE. THE COMPLETED FORM PROVIDES BXA WITH END-USE AND REEXPORT INFORMATION TO AID IN CONTROLLING COMMODITIES SHIPPED UNDER SPECIAL LICENSING PROCEDURES.

None
None


No

1
IC Title Form No. Form Name
STATEMENT BY FOREIGN CONSIGNEE IN SUPPORT OF SPECIAL LICENSE APPLICATION BXA-6052P, EAR 773.2, 773.3, 773.7

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 821 645 0 0 176 0
Annual Time Burden (Hours) 438 343 0 0 95 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/17/1991


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