Potential Board Member Information

ICR 202305-3240-001

OMB: 3240-0005

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2023-08-24
Supplementary Document
2023-08-24
IC Document Collections
IC ID
Document
Title
Status
35496 Modified
ICR Details
3240-0005 202305-3240-001
Received in OIRA 201911-3240-001
SSS
Potential Board Member Information
Reinstatement with change of a previously approved collection   No
Regular 08/24/2023
  Requested Previously Approved
36 Months From Approved
900 0
225 0
0 0

This proposed Information Sheet will be used by employees of the Selective Service System to assist the governors of the several states in locating and nominating to the President citizens who volunteer to serve as local, appeal and civilian review board members in the administration of the Military Selective Service Act.

None
None

Not associated with rulemaking

  88 FR 34203 05/26/2023
88 FR 55811 08/16/2023
No

1
IC Title Form No. Form Name
Potential Board Member Information 404 Potential Board Member Information

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 900 0 0 0 0 900
Annual Time Burden (Hours) 225 0 0 0 0 225
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$287,419
No
    Yes
    Yes
No
No
No
No
Betty Lou Wingo 703 605-4005 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/24/2023


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