APPLICATION FOR TRUSTEESHIP DESIGNATION IN BEHALF OF AIR FORCE MEMBER DUE TO INJURY OR ILLNESS

ICR 198312-0701-004

OMB: 0701-0076

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0701-0076 198312-0701-004
Historical Active
DOD/AF
APPLICATION FOR TRUSTEESHIP DESIGNATION IN BEHALF OF AIR FORCE MEMBER DUE TO INJURY OR ILLNESS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/02/1984
Retrieve Notice of Action (NOA) 12/19/1983
  Inventory as of this Action Requested Previously Approved
10/31/1986 10/31/1986
100 0 0
50 0 0
0 0 0

THIS REPORT ENABLES AFAFC/RPBC TO DETERMINE IF AN APPLICANT FOR TRUSTE WOULD BE A CAPABLE TRUSTEE TO HANDLE FINANCIAL AFFAIRS OF INCOMPETENT RETIRED US AIR FORCE MEMBER.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR TRUSTEESHIP DESIGNATION IN BEHALF OF AIR FORCE MEMBER DUE TO INJURY OR ILLNESS AFAFC 2192

  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 0 100 0 0
Annual Time Burden (Hours) 50 0 0 50 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
12/19/1983


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