Claim Documentation Form Hardship to Dependents

ICR 200206-3240-009

OMB: 3240-0024

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
35529 Migrated
ICR Details
3240-0024 200206-3240-009
Historical Active 199906-3240-004
SSS
Claim Documentation Form Hardship to Dependents
Extension without change of a currently approved collection   No
Regular
Approved without change 08/15/2002
Retrieve Notice of Action (NOA) 06/18/2002
SSS-24 is subject to the Government Paperwork Elimination Act; therefore, every effort should be made to provide an electronic option for the public to complete SSS-24 in accordance with GPEA by 10/03.
  Inventory as of this Action Requested Previously Approved
08/31/2005 08/31/2005 08/31/2002
1 0 1
1 0 1
0 0 0

This form is used to assist Selective Service registrants in documnenting claims for classification on the basis of hardship to their dependents (Class 3-A) that would be caused by their induction.

None
None


No

1
IC Title Form No. Form Name
Claim Documentation Form Hardship to Dependents SSS-24

  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 1 1 0 0 0 0
Annual Time Burden (Hours) 1 1 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.
06/18/2002


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