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pdfPAPERWORK 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-472 & 731-TA-1171-1172
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
10-1-2807
20
10
50
84.18
500
4,209
10,050
Importer questionnaire
10-2-2808
71
30
40
87.44
1,200
3,498
11,250
Purchaser questionnaire
09-3-
80.24
0
0
11,250
Foreign producer
questionnaire
10-4-2809
67.93
200
1,359
11,450
Notice of institution
09-5-
83.95
0
0
11,450
Other questionnaire
___________________
09-
0
0
11,450
1,900
3,507
11,450
Aggregate burden
1
60
10
50
20
38
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/ Catherine DeFilippo
Signature of Program Official
Date
/s/ Catherine DeFilippo
Signature of USITC Paperwork Clearance Officer
Date
Signature of OIRA Official
Date
Date submitted to OMB
Date approval received
| File Type | application/pdf |
| File Title | Q:\Investigators\Joshua.Kaplan\Prelims\Fasteners (CHN & TW)\Questionnaires\OMBSubmissionForm.wpd |
| Author | joshua.kaplan |
| File Modified | 2009-09-30 |
| File Created | 2009-09-30 |