Request for PL Board Member

ICR 200908-3140-004

OMB: 3140-0005

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement B
2009-08-28
Supporting Statement A
2009-08-28
IC Document Collections
IC ID
Document
Title
Status
44195 Modified
ICR Details
3140-0005 200908-3140-004
Historical Active 200606-3140-004
NMB
Request for PL Board Member
Revision of a currently approved collection   No
Regular
Approved with change 08/31/2009
Retrieve Notice of Action (NOA) 08/28/2009
This information collection request is approved. OMB notes that the form has been moved to the IC section.
  Inventory as of this Action Requested Previously Approved
08/31/2012 36 Months From Approved 08/31/2009
15 0 15
4 0 4
0 0 0

This form is used when a public law board is requested, but, one of the parties fails to designate a member of the board. The NMB uses this request to designate a member of the board.

None
None

Not associated with rulemaking

  74 FR 10098 03/09/2009
74 FR 21835 05/11/2009
No

1
IC Title Form No. Form Name
Request for PL Board Member NMB 5 Request for PL Board Member

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 15 15 0 0 0 0
Annual Time Burden (Hours) 4 4 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$957
No
No
Uncollected
Uncollected
No
Uncollected
Denise Murdock 202-692-5010 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/28/2009


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