APPLICATION FOR BENEFITS UNDER THE HOSTAGE RELIEF ACT

ICR 198509-1405-002

OMB: 1405-0053

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
124258
Migrated
ICR Details
1405-0053 198509-1405-002
Historical Active
STATE/AFA
APPLICATION FOR BENEFITS UNDER THE HOSTAGE RELIEF ACT
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/17/1985
Retrieve Notice of Action (NOA) 09/30/1985
  Inventory as of this Action Requested Previously Approved
10/31/1988 10/31/1988
24 0 0
12 0 0
0 0 0

PERSONS WHO BELIEVE THAT THEY OR OTHER PERSONS KNOWN TO THEM ARE HOSTAGES OR MEMBERS OF THE FAMILY OR HOUSEHOLD OF HOSTAGES AS DEFINED IN THE ACT, MAY APPLY FOR BENEFITS FOR THEMSELVES OR ON BEHALF OF OTHE ENTITLED THERETO.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR BENEFITS UNDER THE HOSTAGE RELIEF ACT

  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 24 0 0 24 0 0
Annual Time Burden (Hours) 12 0 0 12 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.
09/30/1985


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