Information Collection

Statement of Material Change

IC 224331 under ICR 201611-1405-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-7789 Statement of Material Change	Form
[FINAL] 1405-XXXX DS-7789 Instructions.docx	Instruction
DS-7789 Statement of Material Change, Merger, Acquisition, or Di [FINAL] 1405-XXXX DS-7789 Material Change Form v.4.10.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 22 CFR 122.4

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	DS-7789	Statement of Material Change, Merger, Acquisition, or Divestiture of a Registered Party	[FINAL] 1405-XXXX DS-7789 Material Change Form v.4.10.pdf		Yes	Yes	Fillable Fileable
Instruction			[FINAL] 1405-XXXX DS-7789 Instructions.docx		Yes	No	Printable Only

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,700

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,700	1,700
Annual IC Time Burden (Hours)	3,400	3,400
Annual IC Cost Burden (Dollars)	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.