Information Collection

Statement by Ultimate Consignee and Purchaser

IC 4911 under ICR 202107-0694-002 · OMB 0694-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BIS 711 Statement by Ultimate Consignee and Purchaser	Form and Instruction
BIS 711 STATEMENT BY ULTIMATE CONSIGNEE AND PURCHASER 711 fil.pdf	Form and Instruction
BIS 711 STATEMENT BY ULTIMATE CONSIGNEE AND PURCHASER 711 fil.pdf	Form and Instruction

IC Title:

Statement by Ultimate Consignee and Purchaser

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 15 CFR 748.11

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 and Instruction	BIS 711	STATEMENT BY ULTIMATE CONSIGNEE AND PURCHASER	711 fil.pdf		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 414

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	414	414
Annual IC Time Burden (Hours)	110	110
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.