Information Collection

Application for Waiver under 15 CFR 400.43(f)

IC 204467 under ICR 201510-0625-001 · OMB 0625-0139.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0625-0139 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application for Waiver under 15 CFR 400.43(f)	Form and Instruction
Application for Waiver 06250139 - Application for Waiver 2016.doc	Form and Instruction

IC Title:

Application for Waiver under 15 CFR 400.43(f)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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 and Instruction	None	Application for Waiver	06250139 - Application for Waiver 2016.doc		Yes	No	Printable Only

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3	-22	25
Annual IC Time Burden (Hours)	27	2	25
Annual IC Cost Burden (Dollars)	93	-682	775

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.