Information Collection

Forms Relating to Civilian Service Records

IC 32540 under ICR 200612-3095-001 · OMB 3095-0037.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0037 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 13064 Reply to Request Involving Relief Agencies Forms Relating to Civilian Service Records	Form
Form 13022 Returned Request Form Forms Relating to Civilian Service Records	Form
Form 13068 Walk-In Request for OPM Records or Information Forms Relating to Civilian Service Records	Form
13022 Returned Request Form 0613022FINAL.doc www.archives.gov/st-louis/civilian-personnel/NA13022.pdf	Form
13064 Reply to Request Involving Relief Agencies 0613064FINAL.doc www.archives.gov/st-louis/civilian-personnel/NA13064.pdf	Form
13068 Walk-In Request for OPM Records or Information 0613068FINAL.doc www.archives.gov/st-louis/civilian-personnel/NA13068.pdf	Form

IC Title:

Forms Relating to Civilian Service Records

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 1228.164

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	13022	http://www.archives.gov/st-louis/civilian-personnel/NA13022.pdf	Yes	No	Printable Only
Form	13064	http://www.archives.gov/st-louis/civilian-personnel/NA13064.pdf	Yes	No	Printable Only
Form	13068	http://www.archives.gov/st-louis/civilian-personnel/NA13068.pdf	Yes	No	Printable Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 32,060

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	Previously Approved
Annual Number of Responses for this IC	32,060	32,060
Annual IC Time Burden (Hours)	2,671	2,671
Annual IC Cost Burden (Dollars)	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.

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