REQUEST FOR TEMPORARY IDENTIFICATION CARD (ICB FORM 109)

ICR 198405-1515-002

OMB: 1515-0128

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
127261
Migrated
ICR Details
1515-0128 198405-1515-002
Historical Active
TREAS/CUSTOMS
REQUEST FOR TEMPORARY IDENTIFICATION CARD (ICB FORM 109)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/13/1984
Retrieve Notice of Action (NOA) 05/11/1984
  Inventory as of this Action Requested Previously Approved
04/30/1987 04/30/1987
188 0 0
94 0 0
0 0 0

A CARTMAN OR LIGHTERMAN MAY REQUEST A TEMPORARY IDENTIFICATION CARD TO BE ISSUED TO HIS EMPLOYEE IF HE CAN SHOW THAT IT WOULD POSE A HARDSHIP ON HIS BUSINESS AND A DETERMINATION IS MADE THAT THE CARD CANNOT BE ADMINISTRATIVELY PROCESSED IN A REASONABLE PERIOD OF TIME.

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR TEMPORARY IDENTIFICATION CARD (ICB FORM 109)

  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 188 0 0 0 188 0
Annual Time Burden (Hours) 94 0 0 0 94 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.
05/11/1984


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