Request to Microfilm Records

ICR 201209-3095-001

OMB: 3095-0017

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2012-09-04
IC Document Collections
IC ID
Document
Title
Status
44186
Unchanged
ICR Details
3095-0017 201209-3095-001
Historical Active 200907-3095-003
NARA
Request to Microfilm Records
Revision of a currently approved collection   No
Regular
Approved without change 10/25/2012
Retrieve Notice of Action (NOA) 09/04/2012
  Inventory as of this Action Requested Previously Approved
10/31/2015 36 Months From Approved 10/31/2012
2 0 2
20 0 20
0 0 0

The collection is prepared by companies that wish to microfilm archival holdings with privately-owned equipment. NARA uses the information to determine whether the request meets the criteria in 36 CFR 1254.94, to evaluate the records for filming, and to schedule use of the limited space available for filming.

None
None

Not associated with rulemaking

  77 FR 37442 06/21/2012
77 FR 53921 09/04/2012
No

1
IC Title Form No. Form Name
Request to Microfilm Records

  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 2 0 0 0 0
Annual Time Burden (Hours) 20 20 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
No
No
Uncollected
Tamee Fechhelm 301-837-3204 [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.
09/04/2012


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