DoD Statement of Intent

Forms and Documents

Document Name	Status
Form AMC Form 207 DOD Statement of Intent Form	Modified
0701-0137 Supporting Statement (9-18-14) FINAL.doc Supporting Statement A	2014-09-18

IC Document Collections

IC ID	Document Title	Status
5126	DOD Statement of Intent Form	Modified

ICR Details

OMB Control No: 0701-0137	ICR Reference No: 201409-0701-001
Status: Historical Active	Previous ICR Reference No: 201108-0701-002
Agency/Subagency: DOD/AF	Agency Tracking No:
Title: DoD Statement of Intent
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/30/2014
	Date Received in OIRA: 09/30/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	10/31/2014
Responses	15	0	15
Time Burden (Hours)	300	0	300
Cost Burden (Dollars)	15,150	0	0

---

Abstract: The Department of Defense Commercial Airlift Division (HQ AMC/A34B) is responsible for the assessment of a commerical air carrier's ability to provide quality, safe, and reliable airlift to the Department of Defense. HQ AMC/A348 uses Air Mobility Command Form 207 to acquire information needed to make a determination if the commercial air carriers can support the Department of Defense. Information is evaluated and used on the approval process. Failure to respond renders the commercial air carrier service ineligible for contracts to provide air carrier service to the Department of Defense.

---

Authorizing Statute(s): US Code: 10 USC 2640 Name of Law: null
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 44427	07/31/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 58755	09/30/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
DOD Statement of Intent	AMC Form 207	DoD Statement of Intent

---

ICR Summary of Burden

	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	15	15	0	0	0	0
Annual Time Burden (Hours)	300	300	0	0	0	0
Annual Cost Burden (Dollars)	15,150	0	0	0	15,150	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $2,445

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/30/2014

---