Item Approval Request List

Forms and Documents

Document Name	Status
Form NA 14110 Item Approval Request List Form and Instruction	Modified
SS14110final.doc Supporting Statement A	2010-10-27

IC Document Collections

IC ID	Document Title	Status
32517	Item Approval Request List Form and Instruction	Modified

ICR Details

OMB Control No: 3095-0025	ICR Reference No: 201010-3095-002
Status: Historical Active	Previous ICR Reference No: 200608-3095-009
Agency/Subagency: NARA	Agency Tracking No:
Title: Item Approval Request List
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/13/2010
	Date Received in OIRA: 10/27/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2013	36 Months From Approved	12/31/2010
Responses	2,616	0	2,816
Time Burden (Hours)	654	0	704
Cost Burden (Dollars)	0	0	0

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Abstract: These forms are used by respondents to order reproductions of motion picture, audio, and video holdings of the National Archives. NARA uses the information to verify availability of items for copying and pulling items for reproduction. Respondents are individuals, businesses, and government organizations that do research in NARA audiovisual holdings.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 47029	08/04/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 66166	10/27/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Item Approval Request List	NA 14110	Item Approval Request List

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ICR Summary of Burden

	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	2,616	2,816	0	-200	0	0
Annual Time Burden (Hours)	654	704	0	-50	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Previously, this information collection contained another form, NA 14110A, used by the Nixon Presidential Materials Staff. This form, as well as forms in use by other Presidential Libraries for ordering reproductions of motion picture, audio, and video holdings of the National Archives, will be sent as a separate information collection.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/27/2010

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