Application to Serve on Advisory Board

Consumer Advisory Boards, Groups and Committees

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0037 can be found here:

Documents and Forms

Document Name Document Type
Form 3170-XXXX Application to Serve on Advisory Board Form and Instruction
3170-XXXX Application to Serve on Advisory Board Application to Serve on Advisory Board.pdf Form and Instruction
Application to Serve on Advisory Board Application to Serve on Advisory Board -rev 10-14.pdf Form and Instruction
APPLICATION TO SERVE ON ACADEMIC RESEARCH COUNCIL ARC application form v1.pdf Form and Instruction
Application to Serve on Advisory Board -rev10-14Tracks.pdf Application to Serve on Advisory Board rev 10-14 Tracked IC Document

Information Collection (IC) Details

IC Title:	Application to Serve on Advisory Board	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3170-XXXX	Application to Serve on Advisory Board	Application to Serve on Advisory Board.pdf	Yes	Yes	Fillable Printable
Form and Instruction	N/A	Application to Serve on Advisory Board	Application to Serve on Advisory Board -rev 10-14.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	NA	APPLICATION TO SERVE ON ACADEMIC RESEARCH COUNCIL	ARC application form v1.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Advisory Boards and Committees	FR Citation: 77 FR 12034

Number of Respondents: 1,700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,700	1,700
Annual IC Time Burden (Hours)	1,275	1,275
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Application to Serve on Advisory Board rev 10-14 Tracked	Application to Serve on Advisory Board -rev10-14Tracks.pdf	10/16/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.