APPLICATION/PERMIT FOR USE OF SPACE IN PUBLIC BUILDINGS AND GROUNDS

ICR 198110-3090-004

OMB: 3090-0044

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3090-0044 198110-3090-004
Historical Active 198009-3090-002
GSA
APPLICATION/PERMIT FOR USE OF SPACE IN PUBLIC BUILDINGS AND GROUNDS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/15/1981
Retrieve Notice of Action (NOA) 10/28/1981
  Inventory as of this Action Requested Previously Approved
09/30/1984 09/30/1984
12,500 0 0
1,041 0 0
0 0 0

THE GSA FORM 3453 IS COMPLETED BY ANY PERSON OR ORGANIZATION DESIRING TO USE PUBLIC AREAS OF A PUBLIC BUILDING OR ITS GROUNDS. THE INFORMATION IS USED TO APPROVE OR DISAPPROVE THE ISSUANCE OF A SINGLE PERMIT WITHIN 10 CALENDAR DAYS FOLLOWING RECEIPT OF THE APPLICATION FORM.

None
None


No

1
IC Title Form No. Form Name
APPLICATION/PERMIT FOR USE OF SPACE IN PUBLIC BUILDINGS AND GROUNDS GSA 3453

  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 12,500 0 0 0 12,500 0
Annual Time Burden (Hours) 1,041 0 0 0 1,041 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/28/1981


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