Information Collection

Cafta-dr Fta

IC 215619 under ICR 202211-1651-007 · OMB 1651-0117.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FTA Format Sample.pdf www.cbp.gov/document/guides/certification-origin-template	Other-Suggested Format

IC Title:

CAFTA-DR FTA

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 19 CFR 10.584

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-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 %

table that charts list of burden
	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

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.