Information Collection

Request to Change End User, End Use and/or Destination of Hardware

IC 43823 under ICR 200908-1405-004 · OMB 1405-0173.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0173 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-6004 Request to Change End User, End Use and/or Destination of Hardware	Form
DS-6004 Request to Change End User, End Use and/or Destination o DS-6004 05 12 2005 v 019.pdf	Form

IC Title:

Request to Change End User, End Use and/or Destination of Hardware

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 22 CFR 123

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	DS-6004	Request to Change End User, End Use and/or Destination of Hardware	DS-6004 05 12 2005 v 019.pdf		Yes	No	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	650	0	650
Annual IC Time Burden (Hours)	1,470	820	650
Annual IC Cost Burden (Dollars)	15,000	0	15,000

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.