Information Collection

Exchange Form 3900-013 "e-QIP Request Form"

IC 236199 under ICR 201905-0702-001 · OMB 0702-0135.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0702-0135 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Exchange Form 3900 Exchange Form 3900-013 "e-QIP Request Form"	Form and Instruction
Exchange Form 3900 e-QIP Request Form FORM 3900-013- e-QIP (DRAFT).pdf	Form and Instruction

IC Title:

Exchange Form 3900-013 "e-QIP Request Form"

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Exchange Form 3900-013	e-QIP Request Form	FORM 3900-013- e-QIP (DRAFT).pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	80	80

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.