Petition for Remission of Mitigation of Forfeitures and Penalties Incurred

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0100 can be found here:

Documents and Forms

Document Name Document Type
Form 4609 Petition for Remission of Mitigation of Forfeitures and Penalties Incurred Form and Instruction
4609 Petition for Remission or Mitigation of Forfeitures and CBP_Form_4609.pdf forms.cbp.gov/pdf/CBP_Form_4609.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Petition for Remission of Mitigation of Forfeitures and Penalties Incurred	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 19 CFR 171.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4609	Petition for Remission or Mitigation of Forfeitures and Penalties Incurred	CBP_Form_4609.pdf	http://forms.cbp.gov/pdf/CBP_Form_4609.pdf	Yes	No	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title: Automated Commercial System	FR Citation: 73 FR 77759

Number of Respondents: 28,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	28,000	0	28,000
Annual IC Time Burden (Hours)	6,500	0	6,500
Annual IC Cost Burden (Dollars)	12,600	12,600	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.