Information Collection

Microfilm Rental Order Form

IC 32572 under ICR 200608-3095-027 · OMB 3095-0059.

Documents and Forms

Document Name Document Type
Form NA 14127 Microfilm Rental Order Form Form and Instruction
NA 14127 Microfilm Rental Order Form microfilm-rental.doc www.archives.gov/research/order/microfilm-rental.pdf; www.archives.gov/research/order/microfilm-rental.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Microfilm Rental Order Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	NA 14127	Microfilm Rental Order Form	microfilm-rental.doc	http://www.archives.gov/research/order/microfilm-rental.pdf; http://www.archives.gov/research/order/microfilm-rental.doc	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 390	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	390	-4,810	5,200
Annual IC Time Burden (Hours)	65	-802	867
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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