Importer Input Record

Forms and Documents

Document Name	Status
Form CBP Form 5106 Importer Input Record Form and Instruction	Modified
FR 30 2015.pdf Supplementary Document	2018-12-13
FR 60 2014.pdf Supplementary Document	2018-12-13
PIA ACE.pdf Supplementary Document	2018-12-13
IIS CBP SORN July 26 2016.pdf Supplementary Document	2018-12-13
FR 30 2014.pdf Supplementary Document	2014-02-06
FR 60 2013.pdf Supplementary Document	2014-02-06
1651-0064_Statment 2016 for new version_DHS comments.doc Supporting Statement A	2017-05-30
privacy_pia_cbp_acs10plus2.pdf Supplementary Document	2012-09-12
SORN ACS.mht Supplementary Document	2012-09-12
19cfr24.5.doc Supplementary Document	2009-07-13

IC Document Collections

IC ID	Document Title	Status
43957	Importer Input Record Form and Instruction	Modified

ICR Details

OMB Control No: 1651-0064	ICR Reference No: 201705-1651-008
Status: Historical Inactive	Previous ICR Reference No: 201402-1651-001
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: Importer Input Record
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 12/13/2018
	Date Received in OIRA: 05/31/2017
Terms of Clearance: The agency will resubmit this package as a revision.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved	12/31/2018
Responses	300,000	0	300,000
Time Burden (Hours)	75,000	0	75,000
Cost Burden (Dollars)	0	0	0

---

Abstract: This document is filed with the first formal entry which is submitted or the first request for services that will result in the issuance of a bill or a refund check upon adjustment of a cash collection.

---

Authorizing Statute(s): US Code: 19 USC 3 Name of Law: Tariff Act of 1930
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 61091	10/09/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 44361	07/27/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Importer Input Record	CBP Form 5106	Create/Update Importer Identity Form

---

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: CBP proposes to revise Form 5106 by adding new data elements. The new data elements are described in paragraph one of this Statement and a draft of the new form will be included in this ICR. CBP proposes to increase the time per response from 15 minutes to 45 minutes as a result of adding these new data elements which increases the burden hours from 75,000 to 225,000.

---

Annual Cost to Federal Government: $8,532,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/31/2017

---