Potential Board Member Information

Forms and Documents

Document Name	Status
Form SSS Form 404 Potential Board Member Information Form	Unchanged
Form SSS Form 404 SSS Form 404 - Potential Board Member Information Form and Instruction	New
Form 404 Supporting Statement - FEBRUARY 3, 2011 VERSION.DOC Supporting Statement A	2011-05-12

IC Document Collections

IC ID	Document Title	Status
35496	Potential Board Member Information Form	Unchanged
197670	SSS Form 404 - Potential Board Member Information Form and Instruction	New

ICR Details

OMB Control No: 3240-0005	ICR Reference No: 201105-3240-003
Status: Historical Active	Previous ICR Reference No: 200802-3240-004
Agency/Subagency: SSS	Agency Tracking No:
Title: Potential Board Member Information
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/28/2011
	Date Received in OIRA: 05/12/2011
Terms of Clearance: This ICR is approved based on the revised materials provided by the agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2014	36 Months From Approved	07/31/2011
Responses	1,977	0	900
Time Burden (Hours)	494	0	225
Cost Burden (Dollars)	0	0	0

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Abstract: This proposed Information Sheet will be used by employees of the Selective Service System to assist the governors of the several states in locating and nominating to the President citizens who volunteer to serve as local, appeal and civilian review board members in the administration of the Military Selective Service Act.

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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:
	76 FR 44	03/07/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 44	03/07/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Potential Board Member Information	SSS Form 404, SSS Form 404	Potential Board Member Information ,   Potential Board Member Information Form
SSS Form 404 - Potential Board Member Information	SSS Form 404	Potential Board Member Information

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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	1,977	900	0	1,077	0	0
Annual Time Burden (Hours)	494	225	0	269	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The burden increase has been affected because the number respondents has changed due to Agency required 20 year tenure appointments. Because of the number of separations due to this requirement more applicants were needed to backfill the vacancies.

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Annual Cost to Federal Government: $183,635

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? Yes

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: 05/12/2011

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