Information Collection Request

Selective Service System Record Request

ICR 202108-3095-007 · OMB 3095-0071 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NA Form 13172 Selective Service System Record Request Form and Instruction Modified Repair queued
SupportingStatement_0071_Selective Service_na_13172_FINAL.docx Supporting Statement A Uploaded 2021-08-27 Missing upstream

IC Document Collections

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

ICR Details

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table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2021
1,980 1,500
66 50
0 0





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1
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IC Title Form No. Form Name
Selective Service System Record Request NA Form 13172 Selective Service System Record Request

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  Total Request 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 1,980 1,500 0 480 0 0
Annual Time Burden (Hours) 66 50 0 16 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  Yes
  Other than adjustments related to spacing, the two changes are; the addition of a Request Purpose field, and the addition of an email address field. The purpose of these changes are to ensure the receiving technician understands the reasoning behind the request being made and to allow for an increase in e-billing and electronic delivery of copies requested.
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table that charts list of RCF
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title