Information Collection

Pentagon Athletic Center Application Form

IC 253639 under ICR 202205-0704-013 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WHS 19 Pentagon Athletic Center Application Form	Form and Instruction
WHS 19 PENTAGON ATHLETIC CENTER WHS19 draft 2021.12.14.PDF	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	WHS 19	PENTAGON ATHLETIC CENTER	WHS19 draft 2021.12.14.PDF		Yes	Yes	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,436

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 2 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,436	3,436
Annual IC Time Burden (Hours)	573	573
Annual IC Cost Burden (Dollars)	9,163	9,163

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.