Polyethylene retail carrier bags

Information collections for import injury investigations (producers, importers, purchasers, and foreign producer questionnaires and institution notices for 5-year reviews)

OMB submission form

Polyethylene retail carrier bags

OMB: 3117-0016

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PAPERWORK REDUCTION ACT
USITC IMPORT INJURY INVESTIGATIONS
GENERIC CLEARANCE SUBMISSION
OMB CONTROL NUMBER 3117-0016
This form should only be used if you are submitting a collection of information for approval under the USITC import injury
investigation clearance assigned OMB Control Number 3117-0016. Submit this form, responses to the supplemental questions (if
necessary), the collection instrument, and any additional documentation to: Office of Information and Regulatory Affairs, Office of
Management and Budget, Docket Library, Room 10102, 725 17th Street NW, Washington, D.C. 20503.
If the collection does not satisfy the requirements of the program clearance, you should follow the regular PRA clearance procedures
described in 5 CFR 1320.
Inv. no. & title

Inv. Nos. 701-TA-462 & 731-TA-1156-1158--PRCBs from Indonesia, Taiwan, and Vietnam (P)

Agency contact (person who can best answer questions about the content of the submission)
Name

Joshua Kaplan

Phone

202-205-3184

E-mail

[email protected]

Burden hour estimates of the actual burden imposed (i.e., the
number of completed questionnaires EXPECTED to be returned
and the hours per response for a firm to (1) review instructions, (2)
search data sources, and (3) complete and review its questionnaire
response). Do NOT include anticipated certifications of nonapplicability here.
Number of
questionnaires
to be
mailed

Number of
responses
(1)

Hours
per
response
(2)

Cost
per
hour
(3)

Total
burden
hours
(1) x (2)

Cost per
response
(2) x (3)

Cumulative
burden
hours1

Type

USITC
number1

Producer questionnaire

09-1-2746

49

15

50

84.18

750

4,209

36,440

Importer questionnaire

09-2-2747

86

30

40

87.44

1,200

3,498

37,640

Purchaser questionnaire

09-3-

80.24

0

0

37,640

Foreign producer
questionnaire

09-4-2748

67.93

200

1,359

37,840

Notice of institution

09-5-

83.95

0

0

37,840

Other questionnaire
___________________

09-

0

0

37,840

2,150

3,507

37,840

Aggregate burden
1

43

10

55

20

39

Obtain from the Statistical Services Division.

Certification: The collections of information requested by this submission meet the requirement of the OMB approval for OMB
Control Number 3117-0016.
/s/ John Ascienzo
Signature of Program Official

Date

/s/ John Ascienzo
Signature of USITC Paperwork Clearance Officer

Date

Signature of OIRA Official

Date

Date submitted to OMB

Date approval received


File Typeapplication/pdf
File TitleQ:\Investigators\Joshua.Kaplan\PRCBs (Vietnam, Taiwan & Indonesia)\Questionnaires\OMB submission form.wpd
Authorjoshua.kaplan
File Modified2009-04-01
File Created2009-04-01

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