Information Collection

Petition for Remission of Mitigation of Forfeitures and Penalties Incurred

IC 20873 under ICR 200808-1651-005 · OMB 1651-0100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0100 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 4609 Petition for Remission of Mitigation of Forfeitures and Penalties Incurred	Form
Form 4609 Petition for Remission or Mitigation of Forfeitures and CBP Form 4609.pdf www.cbp.gov/xp/cgov/toolbox/forms/	Form

IC Title:

Petition for Remission of Mitigation of Forfeitures and Penalties Incurred

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 19 CFR 171.11

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	Form 4609	Petition for Remission or Mitigation of Forfeitures and Penalties Incurred	CBP Form 4609.pdf	http://www.cbp.gov/xp/cgov/toolbox/forms/	Yes	No	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	28,000	28,000
Annual IC Time Burden (Hours)	6,500	6,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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