Prior Disclosure

ICR 200209-1515-004

OMB: 1515-0212

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
16420
Migrated
ICR Details
1515-0212 200209-1515-004
Historical Active 199908-1515-001
TREAS/CUSTOMS
Prior Disclosure
Extension without change of a currently approved collection   No
Regular
Approved without change 10/23/2002
Retrieve Notice of Action (NOA) 09/20/2002
  Inventory as of this Action Requested Previously Approved
10/31/2005 10/31/2005 10/31/2002
3,500 0 3,500
3,500 0 3,500
0 0 0

The collection of information is required to implement a provision of the Customs Modernization portion of NAFTA Implementation Act concerning prior disclosure by a person of a violation of law committed by that person involving the entry or introduction or attempted entry or introduction of merchandise into the U.S. by fraud, gross negligence or negligence, pursuant to 19 U.S.C. 1592

None
None


No

1
IC Title Form No. Form Name
Prior Disclosure

  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 3,500 3,500 0 0 0 0
Annual Time Burden (Hours) 3,500 3,500 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.
09/20/2002


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