Information Collection

Information Collection for Self-Certification to the EU_U.S. Privacy Shield Framework

IC 222570 under ICR 201607-0625-002 · OMB 0625-0276.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0625-0276 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Information Collection for Self-Certification to the EU_U.S. Privacy Shield Framework	Form
Privacy PS certification form FINAL_07-21-2016.docx	Form

IC Title:

Information Collection for Self-Certification to the EU_U.S. Privacy Shield Framework

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	NA	Privacy	PS certification form FINAL_07-21-2016.docx		Yes	Yes	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,600

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	2,376	2,376
Annual IC Cost Burden (Dollars)	10,167,120	10,167,120

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.