Document/Payment Transmittal

Entry Summary

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0022 can be found here:

Documents and Forms

Document Name Document Type
Form 7501A Document/Payment Transmittal Form
7501A Document/Payment Transmittal 7501A_Document Payment Transmittal.doc Form

Information Collection (IC) Details

IC Title:	Document/Payment Transmittal	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 19 CFR 141.61

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	7501A	Document/Payment Transmittal	7501A_Document Payment Transmittal.doc		Yes	No	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title: Automated Commercial System (ACS)	FR Citation: 73 FR 77759

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	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.