Request to Change End User, End Use and/or Destination of Hardware

ICR 200606-1405-004

OMB: 1405-0173

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1405-0173 200606-1405-004
Historical Active
STATE/AFA
Request to Change End User, End Use and/or Destination of Hardware
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 09/28/2006
Retrieve Notice of Action (NOA) 06/19/2006
  Inventory as of this Action Requested Previously Approved
09/30/2009 36 Months From Approved
650 0 0
650 0 0
15,000 0 0

Request approval prior to any sale, transfer, transshipment of disposal of classified or unclassified defense articles, whether permanent or temporary to any end user, end use or destination other than as stated on a license or other approval or on a shipper's export declaration.

None
None


No

1
IC Title Form No. Form Name
Request to Change End User, End Use and/or Destination of Hardware DS-6004

  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 650 0 0 650 0 0
Annual Time Burden (Hours) 650 0 0 650 0 0
Annual Cost Burden (Dollars) 15,000 0 0 15,000 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/19/2006


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