QUESTIONNAIRE FOR RETIRED MILITARY APPLICANTS

ICR 198111-1545-006

OMB: 1545-0629

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
130245 Migrated
ICR Details
1545-0629 198111-1545-006
Historical Active
TREAS/IRS
QUESTIONNAIRE FOR RETIRED MILITARY APPLICANTS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/17/1981
Retrieve Notice of Action (NOA) 11/11/1981
This request for clearance is approved for use through 12-31-82. Consider using a National IRS Form to collect this information. If yo decide to resubmit this form provide detailed explanation as to why yo cannot use the national form.
  Inventory as of this Action Requested Previously Approved
12/31/1982 12/31/1982
50 0 0
4 0 0
0 0 0

RETIRED MILITARY APPLICANTS RECEIVE CREDIT FOR SERVICE ONLY DURING CERTAIN MILITARY CAMPAIGNS. THEY FILL OUT THIS FORM AND WE IN TURN CONTACT THE RECORDS CENTER TO VERIFY THAT INFORMATION. THE DATA IS US BY IRS TO DETERMINE THE APPLICANTS' LEAVE ACCRUAL RATES AND THE CREDIT FOR REDUCTION IN FORCE PURPOSES.

None
None


No

1
IC Title Form No. Form Name
QUESTIONNAIRE FOR RETIRED MILITARY APPLICANTS SWR-2547

  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 50 0 0 0 50 0
Annual Time Burden (Hours) 4 0 0 0 4 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.
11/11/1981


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