Claim Documentation Form - Conscientious Objector

ICR 201008-3240-001

OMB: 3240-0028

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2007-09-13
ICR Details
3240-0028 201008-3240-001
Historical Active 200709-3240-001
SSS
Claim Documentation Form - Conscientious Objector
Revision of a currently approved collection   No
Regular
Approved with change 11/24/2010
Retrieve Notice of Action (NOA) 10/05/2010
This form is approved based on the revised materials provided by the agency.
  Inventory as of this Action Requested Previously Approved
11/30/2013 36 Months From Approved 11/30/2010
1 0 1
1 0 1
0 0 0

This form may be used by those Selective Service System registrants who wish to document their claims for classification as a conscientious objector is the draft is resumed.

None
None

Not associated with rulemaking

  75 FR 167 08/30/2010
75 FR 167 08/30/2010
No

  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 1 1 0 0 0 0
Annual Time Burden (Hours) 1 1 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
Yes
No
No
No
Uncollected
Paula Sweeney 703-605-4046 [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.
10/05/2010


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