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

ICR 200908-1405-004

OMB: 1405-0173

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2009-08-18
Supplementary Document
2009-08-18
IC Document Collections
ICR Details
1405-0173 200908-1405-004
Historical Active 200606-1405-004
STATE/AFA
Request to Change End User, End Use and/or Destination of Hardware
Revision of a currently approved collection   No
Regular
Approved without change 10/20/2009
Retrieve Notice of Action (NOA) 08/19/2009
OIRA is supportive of the Department of State's intention of converting this an electronic collection. The Department of State is given the full three year approval to devote its resources to completing this conversion.
  Inventory as of this Action Requested Previously Approved
10/31/2012 36 Months From Approved 10/31/2009
650 0 650
1,470 0 650
15,000 0 15,000

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.

US Code: 22 USC 2778 Name of Law: Control of arms exports and imports
  
None

Not associated with rulemaking

  74 FR 103 06/01/2009
74 FR 157 08/17/2009
No

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

  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 650 650 0 0 0 0
Annual Time Burden (Hours) 1,470 650 0 0 820 0
Annual Cost Burden (Dollars) 15,000 15,000 0 0 0 0
No
No
Current numbers based on FY08 numbers

$0
No
No
Uncollected
Uncollected
No
Uncollected
Mary Sweeney 202 663-2865 sweeneymf@state.gov

  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.
08/19/2009


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