Information Collection

Application for Special Deputation/Sponsoring Federal Agency Information

IC 203093 under ICR 202112-1105-002 · OMB 1105-0094.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0094 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USM-3A Application for Special Deputation/Sponsoring Federal Agency Information	Form and Instruction
USM-3A Application for Special Deputation/Sponsoring Federal Ag usm3a-LiveCycle-20220321.pdf	Form and Instruction
Description of changes for April 2022 renewal.docx Description of changes for April 2022 renewal	IC Document

IC Title:

Application for Special Deputation/Sponsoring Federal Agency Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	USM-3A	Application for Special Deputation/Sponsoring Federal Agency Information	usm3a-LiveCycle-20220321.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Apprehension

Privacy Act System of Records

Title: Privacy Act of 1974; Notice of Updated Systems of Record

FR Citation: 73 FR 35690

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Description of changes for April 2022 renewal	Description of changes for April 2022 renewal.docx	04/20/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.