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Crew Members Declaration
Crew Members Declaration
OMB: 1651-0021
IC ID: 43946
OMB.report
DHS/USCBP
OMB 1651-0021
ICR 201210-1651-003
IC 43946
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0021 can be found here:
2020-10-29 - Extension without change of a currently approved collection
2018-07-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 5129
Crew Members Declaration
Form and Instruction
5129 Crew Member's Declaration
CBP_Form_5129.pdf
forms.cbp.gov/pdf/CBP_Form_5129.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Crew Members Declaration
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
19 CFR 122.44
19 CFR 148.61-148.67
19 CFR 4.7
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
5129
Crew Member's Declaration
CBP_Form_5129.pdf
http://forms.cbp.gov/pdf/CBP_Form_5129.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
International Affairs and Commerce
Subfunction:
Global Trade
Privacy Act System of Records
Title:
Passenger Lists and Crew Lists
FR Citation:
73 FR 68435
Number of Respondents:
6,000,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
6,000,000
0
0
0
0
6,000,000
Annual IC Time Burden (Hours)
996,000
0
0
0
0
996,000
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.