Withdrawal Questionnaire

Self-Certifications under the Data Privacy Framework Program

Documents and Forms

Document Name Document Type
Withdrawal Questionnaire Form and Instruction
Withdrawal Questionnaire instr_DPF withdrawal qnr_06-01-23_clean.pdf Form and Instruction
Withdrawal Questionnaire instr_DPF withdrawal qnr_06-01-23_clean.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Withdrawal Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Withdrawal Questionnaire	instr_DPF withdrawal qnr_06-01-23_clean.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: 300	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	7,020	7,020

Documents for IC

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.