Customized Services Form

Export Information Services Order Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0625-0143 can be found here:

Documents and Forms

Document Name Document Type
Customized Services Form Form and Instruction
Customized Services Form Customized Services Form.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Customized Services Form	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Customized Services Form	Customized Services Form.doc		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,120	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,120	2,145	975
Annual IC Time Burden (Hours)	520	197	323
Annual IC Cost Burden (Dollars)	3,600,000	3,600,000	0

Documents for IC

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.