Information Collection Request

Selective Service System Record Request

ICR 202003-3095-001 · OMB 3095-0071 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NA Form 13172 Selective Service System Record Request Form and Instruction Modified Available
OMB83_C_03_20.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-03-20 Available
SupportingStatement_3095_0071_Selective Service_na_13172_Change_Worksheet_March_2020.docx Supporting Statement A Uploaded 2020-03-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
202205 Selective Service System Record Request Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2021 09/30/2021 09/30/2021
1,500 0 1,500
50 0 50
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Selective Service System Record Request NA Form 13172 Selective Service System Record Request

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 1,500 1,500 0 0 0 0
Annual Time Burden (Hours) 50 50 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  Yes
  In March 2020, two changes were made to NA Form 13172 - the addition of a Request Purpose field and an email address field. The purpose of these changes is to ensure the receiving technician understands the reason for the request and to allow an increase in e-billing and electronic delivery of copies requested.
Reginfo record details
table that charts list of RCF
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title