Information Collection

Statement of Intent Form

IC 213201 under ICR 202411-0704-004 · OMB 0704-0534.

Documents and Forms

Document Name Document Type
Form DLA Form 2536 Statement of Intent Form Form
DLA Form 2536 Statement of Intent DL2536.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement of Intent Form	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DLA Form 2536	Statement of Intent	DL2536.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 102	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	102	-42	144
Annual IC Time Burden (Hours)	153	-45	198
Annual IC Cost Burden (Dollars)	5,375	-852	6,227

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.