Delivery Ticket

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.