Information Collection

Statement by Ultimate Consignee and Purchaser

IC 4911 under ICR 201504-0694-005 · OMB 0694-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BIS-711 Statement by Ultimate Consignee and Purchaser	Form
BIS-711 Statement by Ultimate Consignee and Purchaser bis711.pdf www.bis.doc.gov/licensing/BIS711.pdf	Form

IC Title:

Statement by Ultimate Consignee and Purchaser

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 15 CFR 748.11

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BIS-711	Statement by Ultimate Consignee and Purchaser	bis711.pdf	www.bis.doc.gov/licensing/BIS711.pdf	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 147

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	147	147
Annual IC Time Burden (Hours)	39	39
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.