Information Collection Request

Petition for Remission of Mitigation of Forfeitures and Penalties Incurred

ICR 201109-1651-002 · OMB 1651-0100 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4609 Petition for Remission of Mitigation of Forfeitures and Penalties Incurred Form and Instruction Modified Available
privacy_pia_cbp_acs10plus2.pdf Supplementary Document Uploaded 2012-02-09 Available
SORN ACS.mht Supplementary Document Uploaded 2012-02-09 Available
FR 30 2011.pdf Supplementary Document Uploaded 2011-09-15 Available
FR 60 2011.pdf Supplementary Document Uploaded 2011-09-15 Available
Statement 2011 (Penalties) 0328.docx Supporting Statement A Uploaded 2012-03-28 Available
171.doc Supplementary Document Uploaded 2008-09-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
20873 Petition for Remission of Mitigation of Forfeitures and Penalties Incurred Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2015 36 Months From Approved 03/31/2012
28,000 0 28,000
6,500 0 6,500
12,600 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Petition for Remission of Mitigation of Forfeitures and Penalties Incurred 4609 Petition for Remission or Mitigation of Forfeitures and Penalties Incurred

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 28,000 28,000 0 0 0 0
Annual Time Burden (Hours) 6,500 6,500 0 0 0 0
Annual Cost Burden (Dollars) 12,600 0 0 0 12,600 0


Reginfo record details
  No