Information Collection

Petition for Remission of Mitigation of Forfeitures and Penalties Incurred

IC 20873 under ICR 201109-1651-002 · OMB 1651-0100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0100 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4609 Petition for Remission of Mitigation of Forfeitures and Penalties Incurred	Form and Instruction
4609 Petition for Remission or Mitigation of Forfeitures and CBP_Form_4609.pdf forms.cbp.gov/pdf/CBP_Form_4609.pdf	Form and Instruction

IC Title:

Petition for Remission of Mitigation of Forfeitures and Penalties Incurred

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 19 CFR 171.11

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 and Instruction	4609	Petition for Remission or Mitigation of Forfeitures and Penalties Incurred	CBP_Form_4609.pdf	http://forms.cbp.gov/pdf/CBP_Form_4609.pdf	Yes	No	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records

Title: Automated Commercial System

FR Citation: 73 FR 77759

Number of Respondents: 28,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	28,000	0	28,000
Annual IC Time Burden (Hours)	6,500	0	6,500
Annual IC Cost Burden (Dollars)	12,600	12,600	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.