AGR (formerly OMB 0694-0123)

License Exemptions and Exclusions

Documents and Forms

Document Name Document Type
0123.doc Old Supporting Statement IC Document
0123.doc Old Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	AGR (formerly OMB 0694-0123)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 15 CFR 749.18

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 167	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Previously Approved
Annual Number of Responses for this IC	167	167
Annual IC Time Burden (Hours)	161	161
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Old Supporting Statement	0123.doc	02/04/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.