Information Collection

Delivery Ticket

IC 20839 under ICR 200912-1651-007 · OMB 1651-0081.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0081 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6043 Delivery Ticket	Form
6043 Delivery Ticket CBP_Form_6043.pdf forms.cbp.gov/pdf/CBP_Form_6043.pdf	Form

IC Title:

Delivery Ticket

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 19 CFR 125

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	6043	Delivery Ticket	CBP_Form_6043.pdf	http://forms.cbp.gov/pdf/CBP_Form_6043.pdf	Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	200,000	200,000
Annual IC Time Burden (Hours)	66,000	66,000
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.