Statement by Ultimate Consignee and Purchaser

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0021 can be found here:

Documents and Forms

Document Name Document Type
Form BIS-711 Statement by Ultimate Consignee and Purchaser Form
BIS-711 Statement by Ultimate Consignee and Purchaser bis711.pdf www.bis.doc.gov/licensing/BIS711.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement by Ultimate Consignee and Purchaser	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 15 CFR 748.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BIS-711	Statement by Ultimate Consignee and Purchaser	bis711.pdf	www.bis.doc.gov/licensing/BIS711.pdf	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 414	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	414	267	147
Annual IC Time Burden (Hours)	110	71	39
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.