Information Collection

OPNAV 5720/13, "Media Rider Nominee Form"

IC 235850 under ICR 202205-0703-001 · OMB 0703-0073.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPNAV 5720/13 OPNAV 5720/13, "Media Rider Nominee Form"	Form and Instruction
OPNAV 5720/13 Media Rider Nominee OPNAV 5720 13.pdf	Form and Instruction
OPNAV 5720/13 Media Rider Nominee OPNAV 5720 13.pdf	Form and Instruction

IC Title:

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	OPNAV 5720/13	Media Rider Nominee	OPNAV 5720 13.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 128

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	128	0	128
Annual IC Time Burden (Hours)	64	0	64
Annual IC Cost Burden (Dollars)	2,031	306	1,725

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.