Information Collection

Request for PL Board Member

IC 44195 under ICR 201309-3140-003 · OMB 3140-0005.

Documents and Forms

Document Name Document Type
Form NMB 5 Request for PL Board Member Form and Instruction
NMB 5 Request for PL Board Member Form_NMB_5_Request_for_PL_Board_Member08-31-2009[1].docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for PL Board Member	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.8(b)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NMB 5	Request for PL Board Member	Form_NMB_5_Request_for_PL_Board_Member08-31-2009[1].docx		No		Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.