Information Collection

Annual Questionnaire for Organizations that Indicated upon Withdrawal that They Would Retain Personal Data Received under the Privacy Shield

IC 241550 under ICR 202003-0625-001 · OMB 0625-0276.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EU-U.S. PS questionnaire_Post-Withdrawal Data Retention_01-13-2017.docx www.privacyshield.gov/welcome	Other-Questionnaire

IC Title:

Annual Questionnaire for Organizations that Indicated upon Withdrawal that They Would Retain Personal Data Received under the Privacy Shield

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Questionnaire			EU-U.S. PS questionnaire_Post-Withdrawal Data Retention_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: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	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.