Information Collection

Annual Baseline Survey

IC 269480 under ICR 202407-0625-003 · OMB 0625-0225.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ITA-4143P-3 Annual Baseline Survey	Form and Instruction
ITA-4143P-3 Annual Baseline Survey Example 2024 Annual Baseline Survey Example 2024.pdf	Form and Instruction
ITA-4143P-3 Annual Baseline Survey Example 2024 Annual Baseline Survey Example 2024.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Voluntary

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
Form and Instruction	ITA-4143P-3	Annual Baseline Survey Example 2024	Annual Baseline Survey Example 2024.pdf		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	500	500
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.