National Medal of Technology Nomination Application

ICR 200512-0692-001

OMB: 0692-0001

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
43584
Migrated
ICR Details
0692-0001 200512-0692-001
Historical Active 200211-0692-001
DOC/NTIS
National Medal of Technology Nomination Application
Extension without change of a currently approved collection   No
Regular
Approved without change 10/12/2006
Retrieve Notice of Action (NOA) 12/21/2005
  Inventory as of this Action Requested Previously Approved
10/31/2009 36 Months From Approved 10/31/2006
105 0 105
2,625 0 2,625
0 0 0

This information collection is critical for the Nomination Evaluation Committee to determine nomination eligibility and merit for the annual selection of the Nation's leading technological innovators honored by the President of the United States. This information is needed in order to comply with P.L. 96-480. Comparable information is not available on a standardized basis.

None
None


No

1
IC Title Form No. Form Name
National Medal of Technology Nomination Application

  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 105 105 0 0 0 0
Annual Time Burden (Hours) 2,625 2,625 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.
12/21/2005


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