Information Collection

Domestic Manufacturing Waiver Form

IC 267947 under ICR 202405-0693-007 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interagency Domestic Manufacturing Waiver Form.pdf	Other-Waiver
Interagency Domestic Manufacturing Waiver Form.pdf	Other-Waiver
Domestic Manufacturing Waiver Form Supporting Statement Final.docx Supporting Statement	IC Document
Domestic Manufacturing Waiver Form Supporting Statement Final.docx Supporting Statement	IC Document
DOC Dept 23 SORN.pdf SORN	IC Document
DOC Dept 23 SORN.pdf SORN	IC Document
PAS.docx Privacy Act Statement	IC Document
PAS.docx Privacy Act Statement	IC Document
60 Day FRN Published.pdf 60 Day FRN	IC Document
60 Day FRN Published.pdf 60 Day FRN	IC Document
30 Day FRN published.pdf 30 Day FRN	IC Document
30 Day FRN published.pdf 30 Day FRN	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 401

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-Waiver			Interagency Domestic Manufacturing Waiver Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title: Information Collected Electronically in Connection with Department of Commerce Activities, Events, and Programs.

FR Citation: 78 FR 42038

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	130	130
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	Domestic Manufacturing Waiver Form Supporting Statement Final.docx	05/24/2024
SORN	DOC Dept 23 SORN.pdf	05/24/2024
Privacy Act Statement	PAS.docx	05/24/2024
60 Day FRN	60 Day FRN Published.pdf	05/24/2024
30 Day FRN	30 Day FRN published.pdf	05/24/2024

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