APPLICATION FOR CORRECTION OF PUBLIC HEALTH SERVICE COMMISSIONED CORPS PERSONNEL RECORDS

ICR 198305-0937-001

OMB: 0937-0095

Federal Form Document

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Name
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ICR Details
0937-0095 198305-0937-001
Historical Active 198105-0937-001
HHS/OASH
APPLICATION FOR CORRECTION OF PUBLIC HEALTH SERVICE COMMISSIONED CORPS PERSONNEL RECORDS
Revision of a currently approved collection   No
Regular
Approved without change 06/23/1983
Retrieve Notice of Action (NOA) 05/31/1983
  Inventory as of this Action Requested Previously Approved
06/30/1986 06/30/1986 06/30/1983
50 0 50
100 0 50
0 0 0

THE APPLICATION IS SUBMITTED BY PRESENT AND FORMER PHS COMMISSIONED CORPS OFFICERS TO REQUEST A CORRECTION OF ERROR OR ALLEGE INJUSTICE IN THEIR PERSONNEL RECORDS. THE APPLICATION WILL BE UTILIZED BY THE BOARD OF CORRECTION TO DETERMINE IF AN ERROR OR INJUSTICE HAS OCCURRED AND TO RECTIFY SUCH ERROR OR INJUSTICE.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR CORRECTION OF PUBLIC HEALTH SERVICE COMMISSIONED CORPS PERSONNEL RECORDS 50

  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 50 50 0 0 0 0
Annual Time Burden (Hours) 100 50 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.
05/31/1983


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