Information Collection

National Broker's Permit Application

IC 183708 under ICR 202508-1651-005 · OMB 1651-0034.

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Information Collection (IC) Details

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IC Title:	National Broker's Permit Application	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 111.19(f)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title: Persons Engaged in International Trade in CBP Licensed/Regulated Activities	FR Citation: 73 FR 77753

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	200	80	120
Annual IC Time Burden (Hours)	200	80	120
Annual IC Cost Burden (Dollars)	20,000	20,000	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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