Statement by Foreign Consignee in Support of Special License Application

ICR 199509-0694-022

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 199509-0694-022
Historical Active 199405-0694-001
DOC/BIS
Statement by Foreign Consignee in Support of Special License Application
Extension without change of a currently approved collection   No
Regular
Approved without change 09/27/1995
Retrieve Notice of Action (NOA) 09/14/1995
Upon completion of the revisions to the EAR, BXA should examine this collection to ensure its consistency with the new regula- tions.
  Inventory as of this Action Requested Previously Approved
09/30/1998 09/30/1998 07/31/1997
323 0 0
173 0 173
0 0 0

This form is used as supporting documentation for three of BXA's special licenses: Project License, Distribution License, and Service Supply License. The completed form provides BXA with end-use and reexport information to aid in controlling commodities shipped under special license procedures.

None
None


No

1
IC Title Form No. Form Name
Statement by Foreign Consignee in Support of Special License Application BXA-6052P

  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 323 0 0 323 0 0
Annual Time Burden (Hours) 173 173 0 0 0 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.
09/14/1995


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