Prior Disclosure

OMB 1651-0074

The collection of information is required to implement a provision of the Customs Simplification Act concerning prior disclosure by a person of a violation of law committed by that person involving the entry or introduction or attempted entry or introduction of merchandise into the U.S. by fraud, gross negligence or negligence, pursuant to 19 U.S.C 1592.

The latest form for Prior Disclosure expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
SS 03.29.2024 Renewal 1651-0074 Prior Disclourse.docx Supporting Statement A
30FRN 1615-0074 Prior Disclosure 2024.pdf Supplementary Document
1651-0074 Prior Disclosure 60FRN 2024.pdf Supplementary Document
DHS-CBP-013 SORN.docx Supplementary Document
DHS CBP -13 SORN SEACATS.pdf Supplementary Document
DHS CBP-013 PIA.pdf Supplementary Document
USCODE-2011-title19-chap4-subtitleIII-partV-sec1592.pdf Supplementary Document
TECS SORN.mht Supplementary Document
162.74.doc Supplementary Document
Prior Disclosure

All Historical Document Collections

202403-1651-001	Extension without change of a currently approved collection	2024-04-01
201912-1651-003	Extension without change of a currently approved collection	2020-01-31
201605-1651-001 Approved with change	Extension without change of a currently approved collection	2016-05-31
201312-1651-004 Approved without change	Extension without change of a currently approved collection	2014-02-27
201112-1651-003 Approved without change	Extension without change of a currently approved collection	2012-01-09
200810-1651-001 Approved without change	Extension without change of a currently approved collection	2008-11-18
200509-1651-003 Approved without change	Extension without change of a currently approved collection	2005-09-08
200303-1651-074 Approved without change	Extension without change of a currently approved collection	2003-03-01