Information Collection

Request to film, photograph, or videotape at a NARA facility for news purposes

IC 44188 under ICR 202202-3095-001 · OMB 3095-0040.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0040 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NA Form 11010 Request to film, photograph, or videotape at a NARA facility for news purposes	Form
NA Form 11010 Waiver of Liability na-11010.docx	Form
NA Form 11010 Waiver of Liability na-11010.docx	Form

IC Title:

Request to film, photograph, or videotape at a NARA facility for news purposes

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 1280.48

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	NA Form 11010	Waiver of Liability	na-11010.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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