Information Collection

Application & Approval to Manipulate, Examine, Sample or Transfer Goods

IC 43939 under ICR 202410-1651-012 · OMB 1651-0006.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CBP Form 3499 Application & Approval to Manipulate, Examine, Sample or Transfer Goods	Form
Form CBP Form 3499 Application and Approval to Manipulate, Examine, Sample or Transfer Goods Application & Approval to Manipulate, Examine, Sample or Transfer Goods	Form
CBP Form 3499 Application and Approval to Manipulate, Examine, Sample 2024 cbp_form_3499 for 1651-0006.pdf www.cbp.gov/newsroom/publications/forms?title=3499	Form
CBP Form 3499 Application and Approval to Manipulate, Examine, Sample 2024 cbp_form_3499 for 1651-0006.pdf www.cbp.gov/newsroom/publications/forms?title=3499	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: 19 CFR 158.43 19 CFR 19.8 19 CFR 19.11

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	CBP Form 3499			https://www.cbp.gov/newsroom/publications/forms?title=3499	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records

Title: IIS

FR Citation: 80 FR 49256

Number of Respondents: 4,200

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	252,000	100,860	151,140
Annual IC Time Burden (Hours)	25,200	10,086	15,114
Annual IC Cost Burden (Dollars)	0	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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