AMENDATORY ENDORSEMENT TO CERTIFICATE OF INSURANCE

ICR 198104-3024-033

OMB: 3024-0033

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
148694 Migrated
ICR Details
3024-0033 198104-3024-033
Historical Active
CAB
AMENDATORY ENDORSEMENT TO CERTIFICATE OF INSURANCE
Revision of a currently approved collection   No
Regular
Approved without change 04/01/1981
Retrieve Notice of Action (NOA) 04/01/1981
  Inventory as of this Action Requested Previously Approved
07/31/1982 07/31/1982
55 0 0
28 0 0
0 0 0

THIS IS THE AMENDATORY ENDORSEMENT FORM TO THE CERTIFICATE OF

None
None


No

1
IC Title Form No. Form Name
AMENDATORY ENDORSEMENT TO CERTIFICATE OF INSURANCE 608

  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 55 0 0 0 55 0
Annual Time Burden (Hours) 28 0 0 0 28 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/01/1981


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