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Statement by Ultimate Consignee and Purchaser
Statement by Ultimate Consignee and Purchaser
OMB: 0694-0021
IC ID: 4911
OMB.report
DOC/BIS
OMB 0694-0021
ICR 200812-0694-001
IC 4911
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0021 can be found here:
2024-08-02 - Extension without change of a currently approved collection
2021-07-22 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form BIS-711
Statement by Ultimate Consignee and Purchaser
Form
BIS-711 Statement by Ultimate Consignee and Purchaser
bis711.pdf
www.bis.doc.gov/licensing/BIS711.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Statement by Ultimate Consignee and Purchaser
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
15 CFR 748.11
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
BIS-711
Statement by Ultimate Consignee and Purchaser
bis711.pdf
www.bis.doc.gov/licensing/BIS711.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
International Affairs and Commerce
Subfunction:
Global Trade
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
286
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
286
0
0
-1,598
0
1,884
Annual IC Time Burden (Hours)
76
0
0
-506
0
582
Annual IC Cost Burden (Dollars)
0
0
0
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.