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Delivery Ticket
Delivery Ticket
OMB: 1651-0081
IC ID: 20839
OMB.report
DHS/USCBP
OMB 1651-0081
ICR 201605-1651-003
IC 20839
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0081 can be found here:
2022-10-27 - Extension without change of a currently approved collection
2019-09-30 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
200,000
0
0
0
0
200,000
Annual IC Time Burden (Hours)
66,000
0
0
0
0
66,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
19 CFR 19.9
19 CFR 19.9.pdf
05/25/2016
19 CFR 4.37
19 CFR 4.37.pdf
05/25/2016
19 CFR 4.34
19 CFR 4.34.pdf
05/25/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.