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Freedom of Information Act (FOIA) Request for Assistance and Consent
Freedom of Information Act (FOIA) Request for Assistance and Consent
OMB: 3095-0068
IC ID: 194856
OMB.report
NARA
OMB 3095-0068
ICR 202211-3095-001
IC 194856
( )
Documents and Forms
Document Name
Document Type
Form NA Form 10003
Freedom of Information Act (FOIA) Request for Assistance and Consent
Form and Instruction
NA Form 10003 Consent to Make Inquiries and Release of Information and
na-10003_FINAL_08_19.pdf
Form and Instruction
NA Form 10003 Consent to Make Inquiries and Release of Information and
na-10003_FINAL_08_19.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Freedom of Information Act (FOIA) Request for Assistance and Consent
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NA Form 10003
Consent to Make Inquiries and Release of Information and Records
na-10003_FINAL_08_19.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Cultural and Historic Preservation
Privacy Act System of Records
Title:
NARA 40
FR Citation:
75 FR 45674
Number of Respondents:
3,676
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,676
0
30
0
0
3,646
Annual IC Time Burden (Hours)
609
0
1
0
0
608
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.