Request for PL Board Member

ICR 201309-3140-003

OMB: 3140-0005

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supporting Statement B
2013-09-17
Supporting Statement A
2013-09-17
IC Document Collections
IC ID
Document
Title
Status
44195 Unchanged
ICR Details
3140-0005 201309-3140-003
Historical Active 200908-3140-004
NMB
Request for PL Board Member
Reinstatement without change of a previously approved collection   No
Regular
Approved with change 12/27/2013
Retrieve Notice of Action (NOA) 09/17/2013
This information collection request is approved. OMB notes that the form was incorrectly submitted as a supplemental document. It has been added to the IC section.
  Inventory as of this Action Requested Previously Approved
12/31/2016 36 Months From Approved
15 0 0
4 0 0
0 0 0

This form is used when a public law board is requested, but, one of the parties fails to designate a member of the board. The NMB uses this request to designate a member of the board.

None
None

Not associated with rulemaking

  78 FR 35328 06/12/2013
78 FR 51751 08/21/2013
No

1
IC Title Form No. Form Name
Request for PL Board Member NMB 5 Request for PL Board Member

  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 15 0 0 0 0 15
Annual Time Burden (Hours) 4 0 0 0 0 4
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$957
No
No
No
No
No
Uncollected
Denise Murdock 202-692-5010 [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.
09/17/2013


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