Information Collection

Application for Special Deputation/Sponsoring Federal Agency Information

IC 203093 under ICR 202506-1105-002 · OMB 1105-0094.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USM-3A Application for Special Deputation/Sponsoring Federal Agency Information Application for Special Deputation/Sponsoring Federal Agency Information	Form and Instruction
Form USM3A Application for Special Deputation Application for Special Deputation/Sponsoring Federal Agency Information	Form and Instruction
USM-3A Application for Special Deputation/Sponsoring Federal Ag usm3a-LiveCycle-20220321.pdf	Form and Instruction
USM3A Application for Special Deputation usm3a-static-20251212-draft.pdf	Form and Instruction
Description of changes for April 2022 renewal.docx Description of changes for April 2022 renewal	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 and Instruction	USM-3A				Yes	Yes	Fillable Fileable
Form and Instruction	USM3A				Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Apprehension

Privacy Act System of Records

Title: Privacy Act of 1974; Notice of Updated Systems of Record

FR Citation: 73 FR 35690

Number of Respondents: 8,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	8,000	2,000	6,000
Annual IC Time Burden (Hours)	1,333	-167	1,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Description of changes for April 2022 renewal		04/20/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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