Information Collection

Export Determination

IC 191795 under ICR 202410-1004-001 · OMB 1004-0058.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5450-17 Export Determination	Form
Form 5450-17 Export Determination Export Determination	Form
5450-17 Export Determination Form 5450-017.pdf	Form
5450-17 Export Determination Form 5450-017.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 5424.1

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	5450-17				Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Mineral and Vegetal Material Sales--Interior, BLM-16

FR Citation: 75 FR 3919

Number of Respondents: 100

Number of Respondents for Small Entity: 100

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
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.

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