Information Collection Request

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

ICR 201712-2133-001 · OMB 2133-0510 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form MA-937 Application for Review of Waiver of Deferment Decision Form and Instruction Removed Repair queued
Form MA-936 Request for Deferment of Service Obligation Form and Instruction Removed Available
Form MA-935 Request for Waiver of Service Obligation Form and Instruction Removed Available
Form MA-937 Application for Review of Waiver Deferment Decision Form and Instruction New Available
Form MA-936 Request for Deferment of Service Obligation Form and Instruction New Available
Form MA-935 Request for Waiver of Service Obligation Form and Instruction New Available
30-day FRN.pdf Supplementary Document Uploaded 2017-12-06 Available
60-day FRN.pdf Supplementary Document Uploaded 2017-12-06 Available
Supporting Statement_12-11-17.docx Supporting Statement A Uploaded 2017-12-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
26651 Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review Form and Instruction RemovedApplication for Review of Waiver of Deferment Decision
26651 Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review Form and Instruction RemovedRequest for Deferment of Service Obligation
26651 Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review Form and Instruction RemovedRequest for Waiver of Service Obligation
229403 Application for Review of Waiver/Deferment Decision Form and Instruction NewApplication for Review of Waiver Deferment Decision
229402 Request for Deferment of Service Obligation Form and Instruction NewRequest for Deferment of Service Obligation
229401 Request for Waiver of Service Obligation Form and Instruction NewRequest for Waiver of Service Obligation

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2021 36 Months From Approved 09/30/2018
11 0 11
7 0 3
0 0 7





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Application for Review of Waiver/Deferment Decision MA-937
Request for Deferment of Service Obligation MA-936
Request for Waiver of Service Obligation MA-935
Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review MA-935, MA-936, MA-937 ,   ,  

table that charts list of burden
  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 11 -11 0
Annual Time Burden (Hours) 7 3 0 7 -3 0
Annual Cost Burden (Dollars) 0 7 0 0 -7 0


Reginfo record details
  No