Form 14110A Item Approval Request List Nixon Presidential Materials

Nixon Presidential Materials Staff Item Approval Request List Telephone: (301) 837-3290

National Archives and Records Administration Nixon Presidential Materials Facsimile: (301) 837-3203

A. Customer/Researcher Information
Preferred Contact Person			Date Submitted
Name/Company Name
Street Address
City	State	Zip/Mail Code	Country
Telephone	Fax		E-Mail

8601 Adelphi Road Electronic Mail: [email protected]

For NLNP Office Use Only
Control Number	Assigned To/Date
For Vendor Use Only
Company Name
Reviewed By	Date

B. INSTRUCTIONS: Provide complete information for boxes A, B1 and B2. We cannot approve incomplete listings. NOTE: “Pending” codes: “1” = needs intermediate; “2”=restricted; “3”=projection print; “4” projection print for film transfer, video intermediate required
1. File/ID Number	2. Subject	3. Type of Copy Wanted	Intermediate Format	Archival Format	Running Time/ Footage Count	Approved	Pending (above)

College Park, MD 20740

ABOUT THE PROCESSING OF YOUR REQUEST

The list has been assigned a “control number.” This number is used to track the request through the order process.

• A number “1" in an item’s “Pending” column, show that there is no intermediate copy currently available for the item.

• A number “2" in an item’s “Pending” column, indicates that there is some restriction on the item.

• A number “3" in an item’s “Pending” column, indicates that the projection print will be used as the intermediate for film to film printing.

• A number “4" in an item’s “Pending” column indicates that a projection print will be used as the intermediate for film to videotape transfer, and that a videotape intermediate must be created simultaneously at the researcher’s expense.

PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT

You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Public burden reporting for this collection of information is estimated to be 15 minutes per response. Send comments regarding the burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to National Archives and Records Administration (NHP), 8601 Adelphi Road, College Park MD 20740‑6001. DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. SEND COMPLETED FORMS TO THE ADDRESS INDICATED ON THE FRONT OF THIS FORM.

PRIVACY ACT STATEMENT

Sections 2104(a) and 2108 of Title 44 of the U.S. Code authorize the collection of this information. The primary use of this information is by NARA staff to process and track your reproduction request and to provide information to you and the vendor you select to make your reproduction. The information may also be used to facilitate preparation of statistical and other reports. Furnishing the information requested on this form is voluntary, but failure to do so will prevent NARA processing of your reproduction request.

CONTINUATION SHEET

ITEM APPROVAL REQUEST LIST

NIXON PRESIDENTIAL MATERIALS

Name/Company Name

Control Number

Page ____ of ____

1. File/ID Number	2. Subject	3. Type of Copy Wanted	Intermediate Format	Archival Format	Running Time/ Footage Count	Approved	Pending (above)

OMB No. 3095-0025, expires 8/31/2007 NA FORM 14110A (5-04)