Claim Documentation Form - Conscientious Objector

ICR 200709-3240-001

OMB: 3240-0028

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
3240-0028 200709-3240-001
Historical Active 200303-3240-001
SSS
Claim Documentation Form - Conscientious Objector
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 11/01/2007
Retrieve Notice of Action (NOA) 09/13/2007
  Inventory as of this Action Requested Previously Approved
11/30/2010 36 Months From Approved
1 0 0
1 0 0
0 0 0

This form may be used by those Selective Service System registrants who wish to document their claims for classification as a conscientious objector.

None
None

Not associated with rulemaking

  71 FR 77 04/21/2006
71 FR 77 04/21/2006
No

  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 1 0 0 0 0 1
Annual Time Burden (Hours) 1 0 0 0 0 1
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
Yes
Uncollected
Uncollected
Uncollected
Uncollected
Paula Sweeney 703-605-4046 paula.sweeney@sss.gov

  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.
09/13/2007


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