Information Collection

Forms Relating to Civilian Service Records

IC 32540 under ICR 201512-3095-003 · OMB 3095-0037.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0037 can be found here:

Documents and Forms

Document Name Document Type
Form NA Form 13064 Forms Relating to Civilian Service Records Form and Instruction
NA Form 13022 Returned Request NA Form 13022final_12_15.docx Form and Instruction
NA Form 13064 Reply to Request Involving Relief Agencies NA Form 13064final_12_15.docx Form and Instruction
NA Form 13068 Walk-In Request for OPM Records or Information NA Form 13068final_12_15.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Forms Relating to Civilian Service Records	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	NA Form 13064	Reply to Request Involving Relief Agencies	NA Form 13064final_12_15.docx	No	Paper Only
Form and Instruction	NA Form 13022	Returned Request	NA Form 13022final_12_15.docx	No	Paper Only
Form and Instruction	NA Form 13068	Walk-In Request for OPM Records or Information	NA Form 13068final_12_15.docx	No	Paper Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title: NARA 35	FR Citation: 78 FR 77281

Number of Respondents: 20,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20,800	-11,260	32,060
Annual IC Time Burden (Hours)	1,733	-938	2,671
Annual IC Cost Burden (Dollars)	0	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.