Information Collection

Request to Change End User, End Use and/or Destination of Hardware

IC 43823 under ICR 201704-1405-001 · OMB 1405-0173.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0173 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-6004 APPLICATIONS (REEXPORTS AND RETRANSFERS) Request to Change End User, End Use and/or Destination of Hardware	Form
DS-6004 APPLICATIONS (REEXPORTS AND RETRANSFERS) Reexport Retransfer requirements.docx	Form
9316_PublishedFR_10-13-2015.pdf 30 Published FR	IC Document

IC Title:

Request to Change End User, End Use and/or Destination of Hardware

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 22 CFR 123

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-6004				Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

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	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	3,000	3,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
30 Published FR		11/10/2015

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

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