SPECIAL FORM MATERIAL CERTIFICATE

ICR 198202-2137-006

OMB: 2137-0518

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
143076
Migrated
ICR Details
2137-0518 198202-2137-006
Historical Active
DOT/PHMSA
SPECIAL FORM MATERIAL CERTIFICATE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/01/1982
Retrieve Notice of Action (NOA) 02/04/1982
  Inventory as of this Action Requested Previously Approved
02/28/1984 02/28/1984
100 0 0
50 0 0
0 0 0

USED BY THE DEPARTMENT AND SHIPPERS TO VERIFY THAT MATERIALS BEING SHIPPED AS SPECIAL FORM MATERIALS ARE SUCH AND ARE BEING PROPERLY SHIPPED SO THAT THEY WILL BE ACCEPTED INTO COUNTRIES WHICH HAVE ADOPTED THE IAEA REGULATIONS.

None
None


No

1
IC Title Form No. Form Name
SPECIAL FORM MATERIAL CERTIFICATE

  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 100 0 0 0 100 0
Annual Time Burden (Hours) 50 0 0 0 50 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.
02/04/1982


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