Information Collection

Microfilm Publication Order Form

IC 32557 under ICR 201112-3095-002 · OMB 3095-0046.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MICROFILM ORDERING ONLINE.doc	Other-screen shots for online orderi
NATF 36 Microfilm Order NATF36_Microfilm Order Form_FY2012.docx www.archives.gov/research/order/microfilm-order-form.pdf	Form and Instruction
NATF 36 Microfilm Order NATF36_Microfilm_Order_Form_FY2012tef.docx www.archives.gov/research/order/microfilm-order-form.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-screen shots for online ordering			MICROFILM ORDERING ONLINE.doc		Yes	Yes	Fillable Printable
Form and Instruction	NATF 36	Microfilm Order	NATF36_Microfilm Order Form_FY2012.docx	http://www.archives.gov/research/order/microfilm-order-form.pdf	Yes	Yes	Fillable Printable
Form and Instruction	NATF 36	Microfilm Order	NATF36_Microfilm_Order_Form_FY2012tef.docx	http://www.archives.gov/research/order/microfilm-order-form.pdf	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	100	100
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.