Information Collection Request

Request for Waiver of Service Obligation, Request for Deferment of Service Obligation, Application for Review

ICR 202108-2133-001 · OMB 2133-0510 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form MA-937 Application for Review of Waiver Deferment Decision Form and Instruction Modified Repair queued
Form MA-937 Application for Review of Waiver/Deferment Decision Form and Instruction Modified Repair queued
Form MA-936 Request for Deferment of Service Obligation Form and Instruction Modified Repair queued
Form MA-936 Request for Deferment of Service Obligation Form and Instruction Modified Available
Form MA-935 Request for Waiver of Service Obligation Form and Instruction Modified Repair queued
Form MA-935 Request for Waiver of Service Obligation Form and Instruction Modified Repair queued
2133-0510_Supporting Statement.docx Supporting Statement A Uploaded 2021-08-11 Repair queued
30-day FRN.pdf Supplementary Document Uploaded 2021-08-11 Repair queued
60-day FRN 4-7-21.pdf Supplementary Document Uploaded 2021-08-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
229403 Application for Review of Waiver/Deferment Decision Form and Instruction ModifiedApplication for Review of Waiver Deferment Decision
229403 Application for Review of Waiver/Deferment Decision Form and Instruction Modified
229402 Request for Deferment of Service Obligation Form and Instruction ModifiedRequest for Deferment of Service Obligation
229402 Request for Deferment of Service Obligation Form and Instruction Modified
229401 Request for Waiver of Service Obligation Form and Instruction ModifiedRequest for Waiver of Service Obligation
229401 Request for Waiver of Service Obligation Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2025 36 Months From Approved 08/31/2022
11 0 11
7 0 7
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Application for Review of Waiver/Deferment Decision MA-937
Request for Deferment of Service Obligation MA-936
Request for Waiver of Service Obligation MA-935

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 11 11 0 0 0 0
Annual Time Burden (Hours) 7 7 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No