CLAIMS AGAINST MARITIME ADMINISTRATION UNDER THE FEDERAL TORT CLAIMS ACT (46 CFR PART 204)

ICR 198707-2133-003

OMB: 2133-0508

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2133-0508 198707-2133-003
Historical Active 198409-2133-001
DOT/MARAD
CLAIMS AGAINST MARITIME ADMINISTRATION UNDER THE FEDERAL TORT CLAIMS ACT (46 CFR PART 204)
Extension without change of a currently approved collection   No
Regular
Approved without change 10/07/1987
Retrieve Notice of Action (NOA) 07/08/1987
  Inventory as of this Action Requested Previously Approved
10/31/1990 10/31/1990 09/30/1987
9 0 9
18 0 18
0 0 0

CLAIMANTS AGAINST MARAD MUST FILE A FORM IN ORDER TO PRESENT A CLAIM. THE SF 95 IS USED AS AN ADMINISTRATIVE CONTROL IN THE CLAIM'S PROCESS.

None
None


No

1
IC Title Form No. Form Name
CLAIMS AGAINST MARITIME ADMINISTRATION UNDER THE FEDERAL TORT CLAIMS ACT (46 CFR PART 204) SF-95

  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 9 9 0 0 0 0
Annual Time Burden (Hours) 18 18 0 0 0 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.
07/08/1987


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