Information Collection Request

Application for Domestic Indemnification

ICR 201801-3135-002 · OMB 3135-0123 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Recent Domestic Indemnity Exhibitions.docx Supplementary Document Uploaded 2018-01-31 Repair queued
Domestic-Indemnity-Instructions.pdf Supplementary Document Uploaded 2018-01-31 Available
Domestic Panel - 2018 Feb.pdf Supplementary Document Uploaded 2018-01-31 Available
Federal_Council_List.doc Supplementary Document Uploaded 2014-11-12 Repair queued
DOMESTIC Indemnity Supporting Statement A 2018.docx Supporting Statement A Uploaded 2018-01-31 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
229932 Application for Indemnification New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2021 36 Months From Approved 03/31/2018
18 0 19
720 0 760
37,746 0 97,000





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Application for Indemnification

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 18 19 0 -1 0 0
Annual Time Burden (Hours) 720 760 0 -40 0 0
Annual Cost Burden (Dollars) 37,746 97,000 0 -59,254 0 0


Reginfo record details
  No