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	Modified
Form 446 NAFTA Verification of Origin Quesionnaire Form and Instruction	Modified
FR 30 2014.pdf Supplementary Document	2014-07-17
Fr 60 2014.pdf Supplementary Document	2014-07-17
Statement 2014.doc Supporting Statement A	2014-07-17
19 CFR 181 Appendix Motor Vehicle.doc Supplementary Document	2012-07-17
privacy_pia_cbp_acs10plus2.pdf Supplementary Document	2012-03-29
SORN ACS.mht Supplementary Document	2012-03-29
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	Modified
187562	NAFTA Verification of Origin Quesionnaire Form and Instruction	Modified

ICR Details

OMB Control No: 1651-0098	ICR Reference No: 201407-1651-001
Status: Historical Active	Previous ICR Reference No: 201202-1651-002
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: North American Free Trade Agreement (NAFTA) Certificate of Origin
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/11/2014
	Date Received in OIRA: 08/27/2014
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	10/31/2016	36 Months From Approved	10/31/2014
Responses	120,414	0	120,414
Time Burden (Hours)	30,314	0	30,314
Cost Burden (Dollars)	0	0	0

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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.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 28532	05/16/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 40128	07/11/2014
Did the Agency receive public comments on this ICR? No

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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 Questionnaire
North American Free Trade Agreement (NAFTA) Certificate of Origin	434	NAFTA Certificate of Origin
NAFTA Motor Vehicle Averaging Election	447	NAFTA Motor Vehicle Averaging

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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	120,414	0	0	0	0
Annual Time Burden (Hours)	30,314	30,314	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $24,166

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

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Common Form ICR:  No

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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: 08/27/2014

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