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Nomination for Young American Medal for Bravery 19
Nomination for Young American Medal for Bravery 19
OMB: 1121-0189
IC ID: 120431
OMB.report
DOJ/OJP
OMB 1121-0189
ICR 199506-1121-002
IC 120431
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0189 can be found here:
2002-01-18 - Extension without change of a currently approved collection
1998-09-03 - Revision of a currently approved collection
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no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
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IC Title:
Nomination for Young American Medal for Bravery 19
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1673/1
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
20
0
20
0
0
0
Annual IC Time Burden (Hours)
60
0
60
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.