Potential Board Member Information

OMB 3240-0005

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.

The latest form for Potential Board Member Information expires 2023-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 404 Potential Board Member Information Form and Instruction
New SSS Form 404 Supporting Statement August 2023.docx Supporting Statement A
20230824_SSS Form 404 .docx Supplementary Document
Potential Board Member Information Form and Instruction

All Historical Document Collections

202305-3240-001 Approved without change	Reinstatement with change of a previously approved collection	2023-08-24
201911-3240-001 Approved without change	Extension without change of a currently approved collection	2020-01-31
201702-3240-003 Approved without change	Extension without change of a currently approved collection	2017-02-16
201701-3240-002 Improperly submitted and continue	Extension without change of a currently approved collection	2017-02-02
201404-3240-007 Approved without change	Extension without change of a currently approved collection	2014-04-30
201105-3240-003 Approved with change	Extension without change of a currently approved collection	2011-05-12
200802-3240-004 Approved with change	Revision of a currently approved collection	2008-02-21
200409-3240-001 Approved without change	Extension without change of a currently approved collection	2004-09-14
200109-3240-001 Approved without change	Extension without change of a currently approved collection	2001-09-20
199808-3240-001 Approved without change	Extension without change of a currently approved collection	1998-08-03
199506-3240-001 Approved without change	Revision of a currently approved collection	1995-06-22
199402-3240-001 Approved without change	Revision of a currently approved collection	1994-02-07
199101-3240-001 Approved without change	Revision of a currently approved collection	1991-01-03
198710-3240-001 Approved without change	Reinstatement with change of a previously approved collection	1987-10-20
198408-3240-001 Approved without change	Reinstatement with change of a previously approved collection	1984-08-02
198103-3240-001 Approved without change	Extension without change of a currently approved collection	1981-03-31
198102-3240-001 Approved without change	Reinstatement with change of a previously approved collection	1981-02-05
198101-3240-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-01-14
198101-3240-001 Approved without change	New collection (Request for a new OMB Control Number)	1981-01-14