Information Collection

Forms Relating to Civilian Service Records

IC 32540 under ICR 202205-3095-003 · OMB 3095-0037.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NA Form 13064 Forms Relating to Civilian Service Records	Form and Instruction
NA Form 13064 Reply to Request Involving Relief Agencies na13064_FINAL_2022.pdf www.archives.gov/files/st-louis/civilian-personnel/na13064.pdf	Form and Instruction
NA Form 13064 Reply to Request Involving Relief Agencies na13064_FINAL_2022.pdf www.archives.gov/files/st-louis/civilian-personnel/na13064.pdf	Form and Instruction
NA Form 13022 Returned Request na13022_FINAL_2022.pdf www.archives.gov/files/st-louis/civilian-personnel/na13022.pdf	Form and Instruction
NA Form 13022 Returned Request na13022_FINAL_2022.pdf www.archives.gov/files/st-louis/civilian-personnel/na13022.pdf	Form and Instruction
NA Form 13068 Walk-In Request for OPM Records or Information na13068_FINAL_2022.pdf www.archives.gov/files/st-louis/civilian-personnel/na13068.pdf	Form and Instruction
NA Form 13068 Walk-In Request for OPM Records or Information na13068_FINAL_2022.pdf www.archives.gov/files/st-louis/civilian-personnel/na13068.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	NA Form 13064	Reply to Request Involving Relief Agencies	na13064_FINAL_2022.pdf	https://www.archives.gov/files/st-louis/civilian-personnel/na13064.pdf	Yes	Yes	Fillable Printable
Form and Instruction	NA Form 13022	Returned Request	na13022_FINAL_2022.pdf	https://www.archives.gov/files/st-louis/civilian-personnel/na13022.pdf	Yes	Yes	Printable Only
Form and Instruction	NA Form 13068	Walk-In Request for OPM Records or Information	na13068_FINAL_2022.pdf	https://www.archives.gov/files/st-louis/civilian-personnel/na13068.pdf	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title: NARA 35

FR Citation: 78 FR 77281

Number of Respondents: 57,899

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	57,899	37,099	20,800
Annual IC Time Burden (Hours)	4,824	3,091	1,733
Annual IC Cost Burden (Dollars)	0	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.