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

Forms and Documents

Document Name	Status
Form DS-6004 Request to Change End User, End Use and/or Destination of Hardware Form	Modified
SupportingStatement1405-0173.doc Supporting Statement A	2009-08-18
LA change.doc Supplementary Document	2009-08-18

IC Document Collections

IC ID	Document Title	Status
43823	Request to Change End User, End Use and/or Destination of Hardware Form	Modified

ICR Details

OMB Control No: 1405-0173	ICR Reference No: 200908-1405-004
Status: Historical Active	Previous ICR Reference No: 200606-1405-004
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Request to Change End User, End Use and/or Destination of Hardware
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/20/2009
	Date Received in OIRA: 08/19/2009
Terms of Clearance: 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
Expiration Date	10/31/2012	36 Months From Approved	10/31/2009
Responses	650	0	650
Time Burden (Hours)	1,470	0	650
Cost Burden (Dollars)	15,000	0	15,000

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Abstract: 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.

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Authorizing Statute(s): US Code: 22 USC 2778 Name of Law: Control of arms exports and imports
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 103	06/01/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 157	08/17/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 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

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ICR Summary of Burden

	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

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: Current numbers based on FY08 numbers

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Annual Cost to Federal Government: $0

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

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

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 08/19/2009

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