Delivery Ticket

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CBP Form 6043 Delivery Ticket	Form	Modified	Available
Form CBP Form 6043 Delivery Ticket	Form	Modified	Repair queued
10.26.2022 Supporting Statement 1651-0081 Delivery Ticket.docx	Supporting Statement A	Uploaded 2022-10-27	Repair queued
30FRN 1651-0081.pdf	Supplementary Document	Uploaded 2022-10-27	Repair queued
60FRN 1651-0081 Delivery Ticket.pdf	Supplementary Document	Uploaded 2022-10-04	Repair queued
IIS CBP SORN July 26 2016.pdf	Supplementary Document	Uploaded 2019-09-10	Repair queued
18 USC 1905.pdf	Supplementary Document	Uploaded 2016-05-25	Repair queued
PIA ACE.pdf	Supplementary Document	Uploaded 2016-05-25	Repair queued
19 USC 1551a.pdf	Supplementary Document	Uploaded 2016-05-25	Repair queued
19 USC 1565.pdf	Supplementary Document	Uploaded 2016-05-25	Repair queued
19 CFR 4.37.pdf	Supplementary Document	Uploaded 2016-05-25	Repair queued
19 CFR 4.34.pdf	Supplementary Document	Uploaded 2016-05-25	Repair queued
19 CFR 19.9.pdf	Supplementary Document	Uploaded 2016-05-25	Repair queued
statute.doc	Supplementary Document	Uploaded 2006-11-29	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20839	Delivery Ticket	Form	Modified	Delivery Ticket
20839	Delivery Ticket	Form	Modified

ICR Details

OMB Control No: 1651-0081	ICR Reference No: 202210-1651-004
Status: Historical Active	Previous ICR Reference No: 201909-1651-006
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: Delivery Ticket
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/23/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/27/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2026	36 Months From Approved	02/28/2023
Responses	231,200	0	231,200
Time Burden (Hours)	57,800	0	57,800
Cost Burden (Dollars)	0	0	0

---

Abstract: This information collection ensures that Customs uniform, national procedures for approving and operating warehouses, carriers, cartman, FTZ operators, and others receiving and controlling general order merchandise are followed.

---

Authorizing Statute(s): US Code: 19 USC 1551a Name of Law: Tariff Act of 1930
   US Code: 19 USC 1565 Name of Law: Cartage
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 36867	06/21/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 64809	10/26/2022
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Delivery Ticket	CBP Form 6043	Delivery Ticket

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	231,200	231,200	0	0	0	0
Annual Time Burden (Hours)	57,800	57,800	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $2,606,702

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/27/2022

---