USAF Museum System Volunteer Application/Registration

ICR 201305-0701-005

OMB: 0701-0127

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2013-09-03
Supplementary Document
2013-09-03
Supporting Statement A
2013-06-24
IC Document Collections
IC ID
Document
Title
Status
5112 Modified
ICR Details
0701-0127 201305-0701-005
Historical Active 201001-0701-002
DOD/AF
USAF Museum System Volunteer Application/Registration
Extension without change of a currently approved collection   No
Regular
Approved with change 09/10/2013
Retrieve Notice of Action (NOA) 06/26/2013
This collection is approved based on the revised materials provided by the Department.
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved 09/30/2013
198 0 198
50 0 50
893 0 893

Form used to obtain data from civilian and active duty or retired military personnel applying to perform voluntary services for the USAF Museum System Heritage activities. Data includes name, home, and personal cell telephone number, home and electronic mailing address, emergency contact, place and date of birth, employment, education information to include degrees received and subject majors, skills, hobbies, citizenship, military and federal civilian service information, i.e., branch of service, length of military/civilian service, job assignments and affiliations.

US Code: 10 USC 1588 Name of Law: Authority to Accept Certain Voluntary Services
   US Code: 10 USC 8013 Name of Law: Secretary of the Air Force
   US Code: 5 USC 301 Name of Law: Government Organization and Employees
  
None

Not associated with rulemaking

  78 FR 18966 03/28/2013
78 FR 18966 03/28/2013
No

1
IC Title Form No. Form Name
USAF Museum System Volunteer Application/Registration AF IMT 3569 USAF Museum System Volunteer Application/Registration

  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 198 198 0 0 0 0
Annual Time Burden (Hours) 50 50 0 0 0 0
Annual Cost Burden (Dollars) 893 893 0 0 0 0
No
No

$3,120
No
No
No
No
No
Uncollected
Frederick Licari 571 372-0493 frederick.c.licari.civ@mail.mil

  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.
06/26/2013


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