SURVIVOR DEBRIEFING FORM

ICR 198702-2115-008

OMB: 2115-0034

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
140457
Migrated
ICR Details
2115-0034 198702-2115-008
Historical Active 198304-2115-001
DOT/USCG
SURVIVOR DEBRIEFING FORM
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 05/28/1987
Retrieve Notice of Action (NOA) 02/26/1987
  Inventory as of this Action Requested Previously Approved
05/31/1990 05/31/1990
500 0 0
125 0 0
0 0 0

TO OBTAIN INFORMATION NEEDED TO SEARCH FOR OR RESCUE OTHER VICTIMS OF THE INCIDENT, AND TO GATHER INFORMATION WHICH WILL BE USEFUL TO THE SAFETY OF LIFE IN FUTURE CASES OF SIMILAR NATURE.

None
None


No

1
IC Title Form No. Form Name
SURVIVOR DEBRIEFING FORM

  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 500 0 0 0 500 0
Annual Time Burden (Hours) 125 0 0 0 125 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.
02/26/1987


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