Request for Waiver of Service Obligation, Request for Deferment of Service Obligation, Application for Review

ICR 201501-2133-001

OMB: 2133-0510

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2015-01-30
Supplementary Document
2014-11-13
Supplementary Document
2014-11-12
Supporting Statement A
2014-11-25
ICR Details
2133-0510 201501-2133-001
Historical Active 201411-2133-001
DOT/MARAD 2133-0510
Request for Waiver of Service Obligation, Request for Deferment of Service Obligation, Application for Review
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/30/2015
Retrieve Notice of Action (NOA) 02/27/2015
  Inventory as of this Action Requested Previously Approved
01/31/2018 01/31/2018 01/31/2018
11 0 11
3 0 3
7 0 7

Students and graduates of the U.S. Merchant Marine Academy and State maritime academies are required to complete these forms when requesting waivers and/or deferments of their service obligation contract.

US Code: 46 USC 51510 Name of Law: Deferment of Service Obligation under Student Incentive Payment Agreements
   US Code: 46 USC 51310 Name of Law: Deferment of Service Obligation under Cadet Commitment Agreements
  
None

Not associated with rulemaking

  79 FR 40836 07/14/2014
79 FR 67544 11/13/2014
No

  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 11 11 0 0 0 0
Annual Time Burden (Hours) 3 3 0 0 0 0
Annual Cost Burden (Dollars) 7 7 0 0 0 0
No
No

$787
No
No
No
No
No
Uncollected
Danielle Bennett 202 366-5296 [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.
02/27/2015


© 2024 OMB.report | Privacy Policy