Potential Board Member Information

ICR 201911-3240-001

OMB: 3240-0005

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2019-11-19
Supporting Statement A
2019-11-19
IC Document Collections
IC ID
Document
Title
Status
35496 Modified
ICR Details
3240-0005 201911-3240-001
Active 201702-3240-003
SSS
Potential Board Member Information
Extension without change of a currently approved collection   No
Regular
Approved without change 03/09/2020
Retrieve Notice of Action (NOA) 01/31/2020
  Inventory as of this Action Requested Previously Approved
03/31/2023 03/31/2020 03/31/2020
900 0 900
225 0 225
0 0 0

This proposed Information Sheet will be used by employees of the Selective Service System to assist the governors of the several states in locating and nominating to the President citizens who volunteer to serve as local, appeal and civilian review board members in the administration of the Military Selective Service Act.

None
None

Not associated with rulemaking

  84 FR 61960 11/14/2019
85 FR 4755 01/27/2020
No

1
IC Title Form No. Form Name
Potential Board Member Information 404 Potential Board Member Information

  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 900 900 0 0 0 0
Annual Time Burden (Hours) 225 225 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$159,582
No
    Yes
    Yes
No
No
No
Uncollected
Betty Lou Wingo 703 605-4005 [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.
01/31/2020


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