Information Collection

Delivery Ticket

IC 20839 under ICR 201605-1651-003 · OMB 1651-0081.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0081 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6043 Delivery Ticket	Form
6043 delivery ticket exp 2016 CBP Form 6043.pdf www.cbp.gov/newsroom/publications/forms?title=6043&=Apply	Form
19 CFR 19.9.pdf 19 CFR 19.9	IC Document
19 CFR 4.37.pdf 19 CFR 4.37	IC Document
19 CFR 4.34.pdf 19 CFR 4.34	IC Document

IC Title:

Delivery Ticket

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 19 CFR 19.9 19 CFR 4.34 19 CFR 4.37

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	6043	delivery ticket	exp 2016 CBP Form 6043.pdf	https://www.cbp.gov/newsroom/publications/forms?title=6043&=Apply	Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: ACE

FR Citation: 80 FR 49256

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	200,000	200,000
Annual IC Time Burden (Hours)	66,000	66,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.