Scooter Registration Form

ICR 202003-0704-006

OMB: 0704-0592

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supporting Statement A
2020-05-29
IC Document Collections
IC ID
Document
Title
Status
240764 New
ICR Details
0704-0592 202003-0704-006
Active
DOD/DODDEP 0704-SCOT
Scooter Registration Form
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/23/2020
Retrieve Notice of Action (NOA) 06/02/2020
  Inventory as of this Action Requested Previously Approved
07/31/2023 36 Months From Approved
100 0 0
200 0 0
6,266 0 0

Washington Headquarters Services (WHS) needs to collect this information to be able to provide reasonable accommodations to WHS and WHS-serviced organizations' personnel needing mobility assistance for individuals with disabilities.

US Code: 42 USC 126 § 12101 Name of Law: Americans with Disabilities Act of 1990
  
None

Not associated with rulemaking

  85 FR 2728 01/16/2020
85 FR 32367 05/29/2020
No

1
IC Title Form No. Form Name
Scooter Registration SD836 Scooter 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 100 0 0 100 0 0
Annual Time Burden (Hours) 200 0 0 200 0 0
Annual Cost Burden (Dollars) 6,266 0 0 6,266 0 0
Yes
Miscellaneous Actions
No
New Collection.

$261
No
    No
    No
No
No
No
No
Kira Starks 571 372-4529 danikquia.k.starks.ctr@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.
06/02/2020


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