Information Collection

Statement By Ultimate Consignee And Purchaser

IC 164895 under ICR 199208-0694-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

STATEMENT BY ULTIMATE CONSIGNEE AND PURCHASER

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	BXA 629P	No	No
Form	EAR SECTION	No	No
Form	775.2	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,046

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15,046	0	0	15,046
Annual IC Time Burden (Hours)	7,774	-3,685	3,685	7,774
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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