ACH Debit Application

Automated Clearinghouse

Documents and Forms

Document Name Document Type
Form CBP Form 400 ACH Debit Application Form
CBP Form 400 ACH Debit Application 2024 cbp_form_400.pdf www.cbp.gov/newsroom/publications/forms?title=400&=Apply Form

Information Collection (IC) Details

IC Title:	ACH Debit Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 19 CFR 24.25

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CBP Form 400	ACH Debit Application	2024 cbp_form_400.pdf	https://www.cbp.gov/newsroom/publications/forms?title=400&=Apply	Yes	Yes	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,710	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,710	3,824	2,886
Annual IC Time Burden (Hours)	559	319	240
Annual IC Cost Burden (Dollars)	0	0	0

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.