Information Collection

OGIS Request for Assistance and Consent

IC 194856 under ICR 201402-3095-001 · OMB 3095-0068.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0068 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OGIS Smart Instruction 9-10.doc	Other-null
NA Form 10003 Consent to Make Inquiries and Release of Information and na-10003_7_13DRAFT.docx	Form and Instruction
NA Form 10004 Request for Assistance and Consent to Make Inquiries and na-10004_7_13DRAFT.docx	Form and Instruction
NA Form 10003 Consent to Make Inquiries and Release of Information and na-10003FINAL.docx	Form and Instruction
NA Form 10004 Request for Assistance and Consent to Make Inquiries and na-10004FINAL.docx	Form and Instruction

IC Title:

OGIS Request for Assistance and Consent

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-null			OGIS Smart Instruction 9-10.doc	Yes	No	Printable Only
Form and Instruction	NA Form 10003	Consent to Make Inquiries and Release of Information and Records	na-10003_7_13DRAFT.docx	Yes	No	Fillable Printable
Form and Instruction	NA Form 10004	Request for Assistance and Consent to Make Inquiries and Release of Information and Records	na-10004_7_13DRAFT.docx	Yes	No	Fillable Printable
Form and Instruction	NA Form 10003	Consent to Make Inquiries and Release of Information and Records	na-10003FINAL.docx	Yes	No	Fillable Printable
Form and Instruction	NA Form 10004	Request for Assistance and Consent to Make Inquiries and Release of Information and Records	na-10004FINAL.docx	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title: NARA 40

FR Citation: 75 FR 45674

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)	10	10
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.