Information Collection

Common Form: Interagency Domestic Manufacturing Waiver Form

IC 269065 under ICR 202406-0693-001 · OMB 0693-0103.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0103 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interagency Domestic Manufacturing Waiver Form.pdf	Other-Form with no form number
60 Day FRN Published.pdf 60 Day FRN	IC Document
30 Day FRN published.pdf 30 Day FRN	IC Document
Common Form Domestic Manufacturing Waiver Form Supporting Statement Final.docx Supporting Statement	IC Document

IC Title:

Common Form: Interagency Domestic Manufacturing Waiver Form

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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-Form with no form number			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:

FR Citation:

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
60 Day FRN	60 Day FRN Published.pdf	06/27/2024
30 Day FRN	30 Day FRN published.pdf	06/27/2024
Supporting Statement	Common Form Domestic Manufacturing Waiver Form Supporting Statement Final.docx	06/27/2024

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