North American Free Trade Agreement (NAFTA) Certificate of Origin

Forms and Documents

Document Name	Status
Form 434 North American Free Trade Agreement (NAFTA) Certificate of Origin Form and Instruction	Modified
Form 447 NAFTA Motor Vehicle Averaging Election Form and Instruction	New
Form 446 NAFTA Verification of Origin Quesionnaire Form and Instruction	Modified
19 CFR 181 Appendix Motor Vehicle.doc Supplementary Document	2012-07-17
1651 0098 Statement 2012.docx Supporting Statement A	2012-08-15
privacy_pia_cbp_acs10plus2.pdf Supplementary Document	2012-03-29
SORN ACS.mht Supplementary Document	2012-03-29
Fr 30 2012.pdf Supplementary Document	2012-02-29
FR 60 2011.pdf Supplementary Document	2012-02-15
19 CFR 181.72.doc Supplementary Document	2008-12-17
19 CFR 181.12.doc Supplementary Document	2008-12-17

IC Document Collections

IC ID	Document Title	Status
20870	North American Free Trade Agreement (NAFTA) Certificate of Origin Form and Instruction	Modified
201249	NAFTA Motor Vehicle Averaging Election Form and Instruction	New
187562	NAFTA Verification of Origin Quesionnaire Form and Instruction	Modified

ICR Details

OMB Control No: 1651-0098	ICR Reference No: 201202-1651-002
Status: Historical Active	Previous ICR Reference No: 200812-1651-003
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: North American Free Trade Agreement (NAFTA) Certificate of Origin
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/15/2012
	Date Received in OIRA: 03/30/2012
Terms of Clearance: DHS/CBP should continue to explore ways to maximize electronic submission options.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	08/31/2012
Responses	120,414	0	120,400
Time Burden (Hours)	30,314	0	30,300
Cost Burden (Dollars)	0	0	0

---

Abstract: The objectives of NAFTA are to eliminate barrier to trade between the United States, Mexico, and Canada, and facilitate conditions of fair competition within the free trade area. These forms are used to verify claims for preferential tariff treatment under NAFTA. CBP is seeking approval of Form 447, North American Free Trade Agreement Motor Vehicle Averaging Election, in order to gather information required by 19 CFR 181 Appendix, Section 11, (2) "Information Required When Producer Chooses to Average for Motor Vehicles". This form is provided to CBP when a manufacturer chooses to average motor vehicles for the purpose of obtaining NAFTA preference.

---

Authorizing Statute(s): PL: Pub.L. 103 - 182 182 Name of Law: NAFTA Implementation Act of 1993
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 76983	12/09/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 9954	02/21/2012
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
NAFTA Verification of Origin Quesionnaire	446	NAFTA Verification of Origin Quesionnaire
North American Free Trade Agreement (NAFTA) Certificate of Origin	434	NAFTA Certificate of Origin
NAFTA Motor Vehicle Averaging Election	447	NAFTA Motor Vehicle Averaging Election

---

ICR Summary 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	120,414	120,400	0	14	0	0
Annual Time Burden (Hours)	30,314	30,300	0	14	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in the burden hours is a result of the addition of proposed form 447.

---

Annual Cost to Federal Government: $5,250

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/30/2012

---