Information Collection

Reporting on Brokering Activities

IC 15021 under ICR 201704-1405-002 · OMB 1405-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-4294 BROKERING LICENSE REQUIREMENTS Reporting on Brokering Activities	Form
DS-4294 BROKERING LICENSE REQUIREMENTS DS 4294 Requirements and Screenshots.docx	Form
9316_PublishedFR_10-13-2015.pdf Published FR Notice	IC Document

IC Title:

Reporting on Brokering Activities

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 22 CFR 129.9

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-4294				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: 1,057

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	1,057	1,057
Annual IC Time Burden (Hours)	2,114	2,114
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Published FR Notice		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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