Information Collection

License Modification Request

IC 194354 under ICR 202505-0648-006 · OMB 0648-0174.

Documents and Forms

Document Name Document Type
License Modification Request Form
Modification Request Form License Modification Request Form
Modification Request Form Modification Form 05-01-2025.docx Form
Modification Request Form Modification Form 05-01-2025.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	License Modification Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 15 CFR 960 Subpart B

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Modification Request Form	Modification Form 05-01-2025.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title: NOAA-11	FR Citation: 80 FR 72948

Number of Respondents: 80	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	160	142	18
Annual IC Time Burden (Hours)	160	142	18
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.

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