Information Collection

Delivery Ticket

IC 20839 under ICR 201909-1651-006 · OMB 1651-0081.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0081 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CBP Form 6043 Delivery Ticket	Form
CBP Form 6043 Delivery Ticket CBP Form 6043.pdf www.cbp.gov/newsroom/publications/forms	Form

IC Title:

Delivery Ticket

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 19 CFR 4.34 19 CFR 4.37 19 CFR 19.9

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	CBP Form 6043	Delivery Ticket	CBP Form 6043.pdf	https://www.cbp.gov/newsroom/publications/forms	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: IIS

FR Citation: 81 FR 48826

Number of Respondents: 1,156

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	231,200	31,200	200,000
Annual IC Time Burden (Hours)	57,800	-8,200	66,000
Annual IC Cost Burden (Dollars)	0	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.