Information Collection

End Use Certificate

IC 5435 under ICR 200805-0704-004 · OMB 0704-0382.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0382 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DLA Form 1822 End Use Certificate	Form
DLA Form 1822 End-Use Certificate DLA Form 1822.pdf	Form
DoDD 2030-8.pdf DoD Directive 2030.08	IC Document
DoD 4160.21-M.pdf DoD 4160.21-M	IC Document
DLAR 2030-1.pdf DLAR 2030.1	IC Document

IC Title:

End Use Certificate

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DLA Form 1822	End-Use Certificate	DLA Form 1822.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	40,000	0	40,000
Annual IC Time Burden (Hours)	13,200	0	13,200
Annual IC Cost Burden (Dollars)	198,000	198,000	0

Documents for IC

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