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Microfilm Rental Order Form
Microfilm Rental Order Form
OMB: 3095-0059
IC ID: 32572
OMB.report
NARA
OMB 3095-0059
ICR 200608-3095-027
IC 32572
( )
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
390
0
-4,810
0
0
5,200
Annual IC Time Burden (Hours)
65
0
-802
0
0
867
Annual IC Cost Burden (Dollars)
0
0
0
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.