Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
                -                       the RIN which identifies each regulatory action listed in                      the Unified Agenda of Federal Regulatory and Deregulatory                      Actions                    

                    See the                                          Document Drafting Handbook                                        for more details.                  

###### Department of Commerce

###### Bureau of Industry and Security 

# ACTION:

Proposed Collection: Request for comments. 

# SUMMARY:

The Department of Commerce, as part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). 

# DATES:

Written comments must be submitted on or before December 12, 2005. 

# ADDRESSES:

                        Direct all written comments to Diana Hynek, DOC Paperwork Clearance Officer, (202) 482-0266, Department of Commerce, Room 6625, 14th and Constitution Avenue, NW., Washington, DC 20230. (or via Internet at                         *DHynek@doc.gov*).                     

# FOR FURTHER INFORMATION CONTACT:

Requests for additional information or copies of the information collection instrument(s) and instructions should be directed to Larry Hall, BIS ICB Liaison, (202) 482-4895, Department of Commerce, Room 6703, 14th & Constitution Avenue, NW., Washington, DC 20230. 

# SUPPLEMENTARY INFORMATION:

## I. Abstract 

The Statement by Ultimate Consignee and Purchaser is required in support of an export license application where the country of ultimate destination is in Country Group Q,S,V,W,Y or Z. It is used by licensing officers in determining the validity of the end use. 

## II. Method of Collection 

Submitted to BIS on form BIS-711 or company letterhead. 

## III. Data 

*OMB Number:*                     0694-0021.                 

*Form Number:*                     Form BIS-711.                 

*Type of Review:*                     Regular submission for extension of a currently approved collection.                 

*Affected Public:*                     Individuals, businesses or other for-profit and not-for-profit institutions.                 

*Estimated Number of Respondents:*                     3,594.                 

*Estimated Time Per Response:*                     16 minutes per response.                 

*Estimated Total Annual Burden Hours:*                     959.                 

*Estimated Total Annual Cost:*                     No capital expenditures are required.                 

## IV. Request for Comments 

                    Comments are invited on: (a) Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency's estimate of the burden (including hours and cost) of the proposed collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques                           ( print page 59718)                        or other forms of information technology.                 

Comments submitted in response to this notice will be summarized and/or included in the request for OMB approval of this information collection; they will also become a matter of public record. 

Dated: October 6, 2005. 

Madeleine Clayton, 

Management Analyst, Office of the Chief Information Officer. 

[FR Doc. 05-20474 Filed 10-12-05; 8:45 am] 

BILLING CODE 3510-33-P