Application for Exportation of Articles Under Special Bond

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CBP Form 3495 Application for Exportation of Articles Under Special Bond	Form and Instruction	Modified	Available
Form CBP Form 3495 Application for Exportation of Articles Under Special Bond	Form and Instruction	Modified	Repair queued
ROCIS 11.22.24 2024 Renewal SS 1651-0004 Application for Exportation of Articles under Special Bond.docx	Supporting Statement A	Uploaded 2024-11-22	Available
ROCIS 11.22.24 2024 Renewal SS 1651-0004 Application for Exportation of Articles under Special Bond.docx	Supporting Statement A	Uploaded 2024-11-22	Repair queued
30FRN for 1651-0004.pdf	Supplementary Document	Uploaded 2024-11-22	Available
30FRN for 1651-0004.pdf	Supplementary Document	Uploaded 2024-11-22	Repair queued
60FRN 1651-0004 Application for Exportation of Articles under Special Bond (CBP Form 3495).pdf	Supplementary Document	Uploaded 2024-11-15	Repair queued
60FRN 1651-0004 Application for Exportation of Articles under Special Bond (CBP Form 3495).pdf	Supplementary Document	Uploaded 2024-11-15	Repair queued
ACE IIS CBP SORN July 26 2016.pdf	Supplementary Document	Uploaded 2017-08-07	Available
ACE IIS CBP SORN July 26 2016.pdf	Supplementary Document	Uploaded 2017-08-07	Repair queued
19 U.S.C. 1202 Chapter 98.pdf	Supplementary Document	Uploaded 2017-08-07	Available
19 U.S.C. 1202 Chapter 98.pdf	Supplementary Document	Uploaded 2017-08-07	Repair queued
PIA ACE.pdf	Supplementary Document	Uploaded 2016-02-17	Repair queued
PIA ACE.pdf	Supplementary Document	Uploaded 2016-02-17	Repair queued
Supporting Regulations.doc	Supplementary Document	Uploaded 2007-08-09	Repair queued
Supporting Regulations.doc	Supplementary Document	Uploaded 2007-08-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20693	Application for Exportation of Articles Under Special Bond	Form and Instruction	Modified	Application for Exportation of Articles Under Special Bond
20693	Application for Exportation of Articles Under Special Bond	Form and Instruction	Modified

ICR Details

OMB Control No: 1651-0004	ICR Reference No: 202411-1651-003
Status: Active	Previous ICR Reference No: 202010-1651-005
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: Application for Exportation of Articles Under Special Bond
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/07/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/22/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2028	36 Months From Approved	04/30/2025
Responses	15,000	0	15,000
Time Burden (Hours)	2,000	0	2,000
Cost Burden (Dollars)	0	0	0

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Abstract: CBP Form 3495, Application for Exportation of Articles Under Special Bond, is an application for exportation of articles entered under temporary bond pursuant to 19 U.S.C. 1202, Chapter 98, subchapter XIII, Harmonized Tariff Schedule of the United States, and 19 CFR 10.38. CBP Form 3495 is used by importers to notify CBP that the importer intends to export goods that were subject to a duty exemption based on a temporary stay in this country. It also serves as a permit to export in order to satisfy the importer's obligation to export the same goods and thereby get a duty exemption. This form is accessible at: https://www.cbp.gov/newsroom/publications/forms?title=3495&=Apply.

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Authorizing Statute(s): US Code: 19 USC 1202 Name of Law: Tariff Act of 1930
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 76865	09/19/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 92698	11/22/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for Exportation of Articles Under Special Bond	CBP Form 3495	Application for Exportation of Articles Under Special Bond

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	15,000	15,000	0	0	0	0
Annual Time Burden (Hours)	2,000	2,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $68,913

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/22/2024

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