NAL Document Delivery Patron Registration Form for Collection 0518-0027

Information Collection for Document Delivery Services

NAL Document Delivery Patron Registration Form for Collection 0518-0027

OMB: 0518-0027

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Document Delivery Request

Your Patron ID and login information will be sent to the email address you have provided.

Registration is processed Monday to Friday (except federal holidays), from 8:30 am to 4:00 pm EST.

If you have questions regarding registration, contact the National Agricultural Library Digitization and Access Branch: 301-504-5717, [email protected](link sends e-mail).

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Registration Type * Shape1

Patron Information

First Name *Shape2

Last Name *Shape3

Affiliation *Shape4

Please select your affiliation.

Email Address *

Primary Phone *Shape5

Secondary PhoneShape6

Office Address *Shape7

City *Shape8

State/Province *Shape9

Country (if not USA)Shape10

Postal Code *Shape11

Are you currently waiting to submit requests in the NAL Reading Room?Shape12

Paperwork Reduction Act (PRA) Disclosure Statement

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0518-0027. The time required to complete this information collection is estimated to average between 1.0 and 2.5 minutes per response depending on method of submission.

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According to the Paperwork Reduction Act of 1985, an agency cannot conduct or sponsor, and a person is not required to collection of information unless it displays a valid OMB control number. The valid OMB control number for the collection is 0518-0027. The estimated time to complete the forms is 1 minute. This includes time for reviewing instructions and filling in the information.

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