Delivery Ticket

Forms and Documents

Document Name	Status
Form CBP Form 6043 Delivery Ticket Form	Modified
2025 ROCIS SS 1651-0081 Delivery Ticket.docx Supporting Statement A	2025-12-04
30FRN 1651-0081.pdf Supplementary Document	2025-12-04
60FRN.pdf Supplementary Document	2025-11-20
IIS CBP SORN July 26 2016.pdf Supplementary Document	2019-09-10
18 USC 1905.pdf Supplementary Document	2016-05-25
PIA ACE.pdf Supplementary Document	2016-05-25
19 USC 1551a.pdf Supplementary Document	2016-05-25
19 USC 1565.pdf Supplementary Document	2016-05-25
19 CFR 4.37.pdf Supplementary Document	2016-05-25
19 CFR 4.34.pdf Supplementary Document	2016-05-25
19 CFR 19.9.pdf Supplementary Document	2016-05-25
statute.doc Supplementary Document	2006-11-29

IC Document Collections

IC ID	Document Title	Status
20839	Delivery Ticket Form	Modified

ICR Details

OMB Control No: 1651-0081	ICR Reference No: 202511-1651-014
Status: Received in OIRA	Previous ICR Reference No: 202210-1651-004
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: Delivery Ticket
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/18/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2026
Responses	231,200	231,200
Time Burden (Hours)	57,800	57,800
Cost Burden (Dollars)	0	0

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Abstract: This information collection ensures that Customs uniform, national procedures for approving and operating warehouses, carriers, cartman, FTZ operators, and others receiving and controlling general order merchandise are followed.

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Authorizing Statute(s): US Code: 19 USC 1551a Name of Law: Tariff Act of 1930
   US Code: 19 USC 1565 Name of Law: Cartage
  

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:
	90 FR 44205	09/12/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 54351	11/26/2025
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
Delivery Ticket	CBP Form 6043	Delivery Ticket

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ICR Summary of Burden

	Total Request	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	231,200	231,200	0	0	0	0
Annual Time Burden (Hours)	57,800	57,800	0	0	0	0
Annual Cost Burden (Dollars)	0	0	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:

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Annual Cost to Federal Government: $2,196,814

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.     No

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? No

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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: 12/18/2025

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