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Reporting on Brokering Activities
Reporting on Brokering Activities
OMB: 1405-0141
IC ID: 15021
OMB.report
STATE/AFA
OMB 1405-0141
ICR 201201-1405-003
IC 15021
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0141 can be found here:
2023-03-02 - Reinstatement without change of a previously approved collection
2019-02-12 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DS4142
Reporting on Brokering Activities
Form and Instruction
DS4142 DS-4142 Annual Brokering Report (22 CFR 129)
BrRep, Draft Form.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Reporting on Brokering Activities
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
22 CFR 120-130 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
DS4142
DS-4142 Annual Brokering Report (22 CFR 129)
BrRep, Draft Form.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
International Affairs and Commerce
Subfunction:
Foreign Affairs
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,515
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,515
0
0
0
0
1,515
Annual IC Time Burden (Hours)
3,030
0
0
0
0
3,030
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.