Cbp Form 442 - Application For Exemption From Special Landing Requirements (Overflight) Page 3
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3PAPERWORK REDUCTION ACT NOTICE: Paperwork Reduction Act says the information collected on this application is needed to
carry out the Customs and Immigration laws of the United States. We need the information to insure that applicants meet the criteria
established to participate in the U.S Customs and Border Protection Overflight Exemption as per 19 CFR 122.25. The information
collected will be stored in a computer database for tracking purposes. Your response is required to obtain the benefits of
participation in the program. Statement required by 5 CFR 1320.21: The estimated average burden associated with collection of
information is 20 minutes per respondent or recordkeeper depending on individual circumstances. Comments concerning the accuracy
of this burden estimate and suggestions for reducing this burden should be directed to U.S. Customs and Border Protection, Office of
Regulations and Rulings, 799, 9th Street, NW, Washington 20229.
PRIVACY ACT NOTICE
We are required by the Privacy Act to provide you with the following information: The authority for requesting the information is 5 USC
301 Treasury Department Order #165 revised as amended. Providing the information is mandatory for Private Aircraft Operators/
Passengers to participate in the CBP Overflight Program. The information or data may be given to federal, state or local law
enforcement agency when CBP becomes aware of violations or possible violations of civil or criminal law; to a federal agency when
conducting an investigation for security reasons, or to a court. If data or information is not provided, applicant(s) will not be approved to
participate in the program.
CBP Form 442 (09/02)
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