Information Collection

Failure to Recertify Questionnaire

IC 241547 under ICR 202011-0625-001 · OMB 0625-0276.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EU-U.S. PS questionnaire_Failure to Recertify_01-13-2017.docx www.privacyshield.gov/welcome	Other-Questionnaire
PS qnr_Failure to Recertify_x05-31-23_m11-20-20.pdf www.privacyshield.gov/welcome	Other-Questionnaire

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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_Failure to Recertify_01-13-2017.docx	https://www.privacyshield.gov/welcome	Yes	Yes	Fillable Fileable
Other-Questionnaire			PS qnr_Failure to Recertify_x05-31-23_m11-20-20.pdf	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 %

table that charts list of burden
	Approved	Previously Approved
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

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.