Information Collection

Forbearance Request for National Service Form

IC 42257 under ICR 201107-3045-003 · OMB 3045-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Forbearance Request for National Service Form	Form and Instruction
1 Forbearance Form- Paper Version 2005 forbearance IC with AC watermark.doc	Form and Instruction
2 Forbearance Form- Electronic Version 2006 automated forbearance IC with AC watermark.doc www.nationalservice.gov	Form and Instruction

IC Title:

Forbearance Request for National Service Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Forbearance Form- Paper Version	2005 forbearance IC with AC watermark.doc		No		Paper Only
Form and Instruction	2	Forbearance Form- Electronic Version	2006 automated forbearance IC with AC watermark.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-11,000	11,000
Annual IC Time Burden (Hours)	-1,833	1,833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.