Information Collection

Microfilm Rental Order Form

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.