Advisory Committee Candidate Biographical Information Request

ICR 200903-2105-002

OMB: 2105-0009

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2009-03-31
Supplementary Document
2009-03-31
Supplementary Document
2009-03-31
Supplementary Document
2009-03-31
Supplementary Document
2009-03-31
IC Document Collections
ICR Details
2105-0009 200903-2105-002
Historical Active 200601-2105-002
DOT/OST 2105-0009
Advisory Committee Candidate Biographical Information Request
Extension without change of a currently approved collection   No
Regular
Approved with change 05/28/2009
Retrieve Notice of Action (NOA) 03/31/2009
  Inventory as of this Action Requested Previously Approved
05/31/2012 36 Months From Approved 05/31/2009
100 0 1
25 0 25
0 0 0

The collection is necessary to gather information from individuals interested in appointments to advisory committees and individuals who have been recommended for membership on an advisory committee to ensure that the committee is balanced and fairly and equitably represents, to the extent feasible, all the various interests that may be affected by the committee’s work and that undue weight not be afforded the views of any one interest, as required by the Federal Advisory Committee Act, P.L. 92-463.

PL: Pub.L. 93 - 579 Section 2 Name of Law: The Privacy Act of 1974
   PL: Pub.L. 92 - 463 Section 10-12 Name of Law: Federal Advisory Committee Act
  
None

Not associated with rulemaking

  73 FR 68491 11/18/2008
74 FR 10645 03/11/2009
No

1
IC Title Form No. Form Name
Advisory Committee Candidate Biographical Information Request DOT F 1120.1 Advisory Committee Candidate Biographical Information Request

  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 100 1 0 0 99 0
Annual Time Burden (Hours) 25 25 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
No
Uncollected
Lisa Hough 2023669760 Lisa.Hough@dot.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.
03/31/2009


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