OMB CONTROL NUMBER: 0704-XXXX
EXPIRATION DATE: XX/XX/XXXX
AGENCY DISCLOSURE STATEMENT
The public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100 (0704-XXXX). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS.
| File Type | application/msword |
| File Title | The following is a sample Agency Disclosure Notice: |
| Author | Patricia Toppings |
| Last Modified By | Shelly Finke |
| File Modified | 2015-01-14 |
| File Created | 2004-08-06 |