Information Collection

Export Determination

IC 191795 under ICR 201901-1004-001 · OMB 1004-0058.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0058 can be found here:

Documents and Forms

Document Name Document Type
Form 5450-17 Export Determination Form
5450-17 Export Determination Form 5450-17.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Export Determination	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 5424.1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5450-17	Export Determination	Form 5450-17.pdf		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Mineral and Vegetal Material Sales--Interior, BLM-16	FR Citation: 75 FR 3919

Number of Respondents: 100	Number of Respondents for Small Entity: 100

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	90	10
Annual IC Time Burden (Hours)	100	90	10
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.