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Forms Relating to Civilian Service Records
Forms Relating to Civilian Service Records
OMB: 3095-0037
IC ID: 32540
OMB.report
NARA
OMB 3095-0037
ICR 200912-3095-002
IC 32540
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0037 can be found here:
2022-05-23 - Revision of a currently approved collection
2019-02-14 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form NA 13022
Forms Relating to Civilian Service Records
Form
NA 13022 Returned Request Form
NA Form 13022final.doc
www.archives.gov/st-louis/civilian-personnel/NA13022.pdf
Form
NA 13064 Reply to Request Involving Relief Agencies
NA Form 13064final.doc
www.archives.gov/st-louis/civilian-personnel/NA13064.pdf
Form
NA 13068 Walk-In Request for OPM Records or Information
NA Form 13068final.doc
www.archives.gov/st-louis/civilian-personnel/NA13068.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
NA 13022
Returned Request Form
NA Form 13022final.doc
http://www.archives.gov/st-louis/civilian-personnel/NA13022.pdf
Yes
No
Printable Only
Form
NA 13064
Reply to Request Involving Relief Agencies
NA Form 13064final.doc
http://www.archives.gov/st-louis/civilian-personnel/NA13064.pdf
Yes
No
Printable Only
Form
NA 13068
Walk-In Request for OPM Records or Information
NA Form 13068final.doc
http://www.archives.gov/st-louis/civilian-personnel/NA13068.pdf
Yes
No
Printable Only
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:
32,060
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
32,060
0
0
0
0
32,060
Annual IC Time Burden (Hours)
2,671
0
0
0
0
2,671
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.