Information Collection

Request to Microfilm Records

IC 44186 under ICR 200606-3095-001 · OMB 3095-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0017 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request to Microfilm Records	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2	-3	5
Annual IC Time Burden (Hours)	20	-30	50
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.