Information Collection

Single Transaction Form BIS-621P

IC 4899 under ICR 202303-0694-004 · OMB 0694-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0012 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BIS-621P Single Transaction Form BIS-621P	Form
BIS-621P Report of Request for Restrictive Trade Practices or Boy 621P.pdf www.bis.doc.gov	Form
BIS621-p REPORT OF REQUEST FOR RESTRICTIVE TRADE PRACTICE OR BOYC bis621p.pdf	Form and Instruction

IC Title:

Single Transaction Form BIS-621P

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 15 CFR 760.5

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	BIS621-p	REPORT OF REQUEST FOR RESTRICTIVE TRADE PRACTICE OR BOYCOTT SINGLE TRANSACTION	bis621p.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: 296

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	296	9	287
Annual IC Time Burden (Hours)	301	9	292
Annual IC Cost Burden (Dollars)	0	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.