Statement of Intent

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DLA Form 2536 Statement of Intent	Form	Modified	Available
Form DLA Form 2536 Statement of Intent Form	Form	Modified	Repair queued
0704-0534_SSA_1.15.2025.docx	Supporting Statement A	Uploaded 2025-01-16	Repair queued
0704-0534_SSA_1.15.2025.docx	Supporting Statement A	Uploaded 2025-01-16	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
213201	Statement of Intent Form	Form	Modified	Statement of Intent
213201	Statement of Intent Form	Form	Modified

ICR Details

OMB Control No: 0704-0534	ICR Reference No: 202411-0704-004
Status: Active	Previous ICR Reference No: 202201-0704-003
Agency/Subagency: DOW/DODDEP	Agency Tracking No:
Title: Statement of Intent
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/01/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/16/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2028	36 Months From Approved	04/30/2025
Responses	102	0	144
Time Burden (Hours)	153	0	198
Cost Burden (Dollars)	5,375	0	6,227

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Abstract: This collection allows the Department of Defense (DoD) and its representatives to assess the ability of prospective purchasers to comply with applicable laws and regulations before the sale of materiel. Defense Logistics Agency (DLA) Form 2536, “Statement of Intent”, is used to identify the nature of the purchaser’s business, where the materials will be stored, and what the buyer’s intentions are with the materiel (i.e., use the materiel as intended, re-sell to others, scrap the materiel for recovery of contents, or re-refine or re-process the materiel).

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 82593	10/11/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 1985	01/10/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Statement of Intent Form	DLA Form 2536	Statement of Intent

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	102	144	0	-42	0	0
Annual Time Burden (Hours)	153	198	0	-45	0	0
Annual Cost Burden (Dollars)	5,375	6,227	0	-852	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The burden has decreased since the previous approval due to the removal of the DD 2537.

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Annual Cost to Federal Government: $6,690

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/16/2025

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