Information Collection

Statement of Intent Form

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DLA Form 2536 Statement of Intent Form	Form
Form DLA Form 2536 Statement of Intent Statement of Intent Form	Form
DLA Form 2536 Statement of Intent DL2536.pdf	Form
DLA Form 2536 Statement of Intent DL2536.pdf	Form

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	DLA Form 2536				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 %

table that charts list of burden
	Approved	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

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.

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