Information Collection

Forbearance Request for National Service Form

IC 42257 under ICR 200807-3045-001 · OMB 3045-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0030 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Forbearance Request for National Service Form Form and Instruction
1 Forbearance Form- Paper Version 2005 forbearance IC with AC watermark.doc Form and Instruction
2 Forbearance Form- Electronic Version 2006 automated forbearance IC with AC watermark.doc www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Forbearance Request for National Service 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	1	Forbearance Form- Paper Version	2005 forbearance IC with AC watermark.doc		No		Paper Only
Form and Instruction	2	Forbearance Form- Electronic Version	2006 automated forbearance IC with AC watermark.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,000	-5,000	16,000
Annual IC Time Burden (Hours)	1,833	498	1,335
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.