Information Collection

Request for Commodity Jurisdiction (CJ)/U.S. Munitions List (USML) Determination

IC 15055 under ICR 202604-1405-002 · OMB 1405-0163.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-4076 Commodity Jurisdiction Determination Form Request for Commodity Jurisdiction (CJ)/U.S. Munitions List (USML) Determination	Form
DS-4076 CJ Form Instructions v3.1.3 1.docx	Other-Screenshots
DS-4076 Commodity Jurisdiction Determination Form DS4076v3.1.1.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	DS-4076				Yes	Yes	Fillable Fileable Signable
Other-Screenshots					Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	300	-300	600
Annual IC Time Burden (Hours)	1,200	-1,200	2,400
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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