International Company Profile Form

OMB Control No.0625-0143 Expiration Date: xx/xx/xxxx

International Company Profile Request

Request Date:

1. Information about the Requesting Company:

The requesting company must be a U.S. firm and the ICP must be ordered for a potential U.S. export sale or commercial venture overseas.
Contact Name:			Contact Title:
Organization:
Address:
Telephone:		Fax:
eMail Address:
Do you authorize the Overseas Post to disclose the name of the requesting company to the target company or individual? NOTE: We strongly recommend that you allow the overseas Post to disclose your identity to the target company. Failure to do so may seriously impair Post’s ability to collect information from, and/or to meet with, the target company.
Yes				No

2. Information about the Ultimate Client, where applicable:

If you are requesting this service on behalf of a client, provide the following information about your client.
Organization:
Address:
Telephone:
Fax:
Website (URL):
Do you authorize the Overseas Post to disclose the name of your client to the target company or individual? NOTE: We strongly recommend that you allow the overseas Post to disclose your identity to the target company. Failure to do so may seriously impair Post’s ability to collect information from, and/or to meet with, the target company.
Yes		No

3. Information Requested on the following International (“Target”) Company:

Contact: Name:		Contact: Title:
Organization:
Address:
Telephone:		Cell/Mobile:
Fax:
eMail Address:		Website (URL):
Specify here any additional or specific information to be researched about this company about this company :

____________________________________________________________________________________

This collection of information contains Paperwork Reduction Act (PRA) requirements approved by the Office of Management and Budget (OMB). Notwithstanding any other provision of law, no person is required to respond to nor shall any person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the PRA unless that collection of information displays a currently valid OMB Control Number. Public reporting burden for this collection of information is estimated to be 10 minutes per response, including the time for reviewing instructions, and completing and reviewing the collection of information. All responses to this collection of information are voluntary, and will be provided confidentially to the extent allowed by law. Persons wishing to comment on the burden estimate or any aspect of this collection of information, or offer suggestions for reducing this burden, should send their COMMENTS to the ITA Reports Clearance Officer, International Trade Administration, Department of Commerce, Room 4001, 14th and Constitution Avenue, N.W., Washington, D.C. 20230.

____________________________________________________________________________________

Your satisfaction is our top priority. Please inform us of any questions or concerns and we will work quickly and effectively to meet your needs.

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The U.S. Commercial Service Customer Care Hotline is available for you to call toll free Monday through Friday, 9:00 AM to 6:00 PM EST at 1-866-482-8111, or e-mail to [email protected]

We will protect business confidential information to the extent provided under Federal law.