Cafta-dr Fta

Free Trade Agreements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0117 can be found here:

Documents and Forms

Document Name Document Type
FTA Format Sample.pdf www.cbp.gov/document/guides/certification-origin-template Other-Suggested Format

Information Collection (IC) Details

IC Title:	CAFTA-DR FTA	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 10.584

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Suggested Format			FTA Format Sample.pdf	http://www.cbp.gov/document/guides/certification-origin-template	Yes	No	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title: IIS	FR Citation: 81 FR 48826

Number of Respondents: 800	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Requested	Previously Approved
Annual Number of Responses for this IC	2,400	2,400
Annual IC Time Burden (Hours)	4,800	4,800
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.