Client Information 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⚠️ Notice: This information collection may be referencing outdated material.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
Client Information Form Form and Instruction
Client Information Form Client_Information_Form_0625-0143.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Client Information Form	Agency IC Tracking Number:

Is this a Common Form? No		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	Client Information Form	Client_Information_Form_0625-0143.docx		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 %

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

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.