Information Collection

Application & Approval to Manipulate, Examine, Sample or Transfer Goods

IC 43939 under ICR 202005-1651-001 · OMB 1651-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CBP Form 3499 Application & Approval to Manipulate, Examine, Sample or Transfer Goods	Form
CBP Form 3499 Application and Approval to Manipulate, Examine, Sample CBP Form 3499.pdf www.cbp.gov/newsroom/publications/forms?title=3499	Form

IC Title:

Application & Approval to Manipulate, Examine, Sample or Transfer Goods

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 19 CFR 19.11 19 CFR 158.43 19 CFR 19.8

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 3499	Application and Approval to Manipulate, Examine, Sample or Transfer Goods	CBP Form 3499.pdf	https://www.cbp.gov/newsroom/publications/forms?title=3499	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records

Title: IIS

FR Citation: 80 FR 49256

Number of Respondents: 2,519

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
	Requested	Previously Approved
Annual Number of Responses for this IC	151,140	151,140
Annual IC Time Burden (Hours)	15,114	15,114
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.