Prior Disclosure

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
DHS-CBP-013 SORN.docx	Supplementary Document	Uploaded 2016-10-03	Available
DHS CBP -13 SORN SEACATS.pdf	Supplementary Document	Uploaded 2016-09-07	Available
DHS CBP-013 PIA.pdf	Supplementary Document	Uploaded 2016-05-25	Available
USCODE-2011-title19-chap4-subtitleIII-partV-sec1592.pdf	Supplementary Document	Uploaded 2016-05-13	Available
2016 SS for ROCIS.doc	Supporting Statement A	Uploaded 2016-09-07	Available
FR 60 2016.pdf	Supplementary Document	Uploaded 2016-05-09	Available
FR 30 2016.pdf	Supplementary Document	Uploaded 2016-05-09	Available
TECS SORN.mht	Supplementary Document	Uploaded 2012-01-09	Available
162.74.doc	Supplementary Document	Uploaded 2008-10-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20824	Prior Disclosure		Unchanged

ICR Details

OMB Control No: 1651-0074	ICR Reference No: 201605-1651-001
Status: Active	Previous ICR Reference No: 201312-1651-004
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: Prior Disclosure
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 with change	Conclusion Date: 01/03/2017
	Date Received in OIRA: 05/31/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved	01/31/2017
Responses	3,500	0	3,500
Time Burden (Hours)	3,500	0	3,500
Cost Burden (Dollars)	0	0	0

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Abstract: The collection of information is required to implement a provision of the Customs Simplification Act concerning prior disclosure by a person of a violation of law committed by that person involving the entry or introduction or attempted entry or introduction of merchandise into the U.S. by fraud, gross negligence or negligence, pursuant to 19 U.S.C 1592.

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Authorizing Statute(s): US Code: 19 USC 1592(c)(4) Name of Law: Customs Simplification Act of 1979
  

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:
	81 FR 4326	01/26/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 22625	04/18/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Prior Disclosure

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ICR Summary of Burden

table that charts list 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	3,500	3,500	0	0	0	0
Annual Time Burden (Hours)	3,500	3,500	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: $391,370

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: 05/31/2016

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