Failure to Recertify Questionnaire

Information Collection for Self-Certification to the EU-U.S. and Swiss-U.S. Privacy Shield Framework

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0625-0276 can be found here:

Documents and Forms

Document Name Document Type
EU-U.S. PS questionnaire_Failure to Recertify_01-13-2017.docx www.privacyshield.gov/welcome Other-Questionnaire

Information Collection (IC) Details

IC Title:	Failure to Recertify Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire			EU-U.S. PS questionnaire_Failure to Recertify_01-13-2017.docx	https://www.privacyshield.gov/welcome	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: 345	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	345	345
Annual IC Time Burden (Hours)	173	173
Annual IC Cost Burden (Dollars)	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.