Information Collection

North American Free Trade Agreement (NAFTA) Certificate of Origin

IC 20870 under ICR 201610-1651-003 · OMB 1651-0098.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0098 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 434 North American Free Trade Agreement (NAFTA) Certificate of Origin	Form and Instruction
434 North American Free Trade Agreement Certificate of Origi CBP Form 434_3.pdf www.cbp.gov/newsroom/publications/forms?title=434&=Apply	Form and Instruction

IC Title:

North American Free Trade Agreement (NAFTA) Certificate of Origin

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 19 CFR 181

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	434	North American Free Trade Agreement Certificate of Origin	CBP Form 434_3.pdf	https://www.cbp.gov/newsroom/publications/forms?title=434&=Apply	Yes	No	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records

Title: ACE

FR Citation: 80 FR 49256

Number of Respondents: 40,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	120,000	0	120,000
Annual IC Time Burden (Hours)	240,000	210,000	30,000
Annual IC Cost Burden (Dollars)	0	0	0

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.