DLA Energy Request for Customer QR Code

ICR 202207-0704-010

OMB: 0704-0640

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2022-07-29
Supplementary Document
2022-07-29
Supporting Statement A
2022-09-08
IC Document Collections
ICR Details
202207-0704-010
Received in OIRA
DOD/DODDEP 0704-DLQR
DLA Energy Request for Customer QR Code
New collection (Request for a new OMB Control Number)   No
Regular 09/08/2022
  Requested Previously Approved
36 Months From Approved
730 0
730 0
28,141 0

All activities that purchase fuel from DLA Energy including DoD, Federal Agencies, Federal Contractors, and Non-US Government Entities with a fuel purchase agreement with DLA Energy can request a Customer QR code. The code is another form of Authorized Purchase Source Media (APSM) used to buy petroleum and aerospace products from DLA Energy.

None
None

Not associated with rulemaking

  87 FR 35522 06/10/2022
87 FR 54985 09/08/2022
No

1
IC Title Form No. Form Name
DLA Energy Request for Customer QR Code DLA Form 2063 DLA Energy Request for Customer QR Code

  Total Request 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 730 0 0 730 0 0
Annual Time Burden (Hours) 730 0 0 730 0 0
Annual Cost Burden (Dollars) 28,141 0 0 28,141 0 0
Yes
Miscellaneous Actions
No
This is a new collection with a new associated burden.

$13,166
No
    Yes
    No
No
No
No
No
Nicholas Schuff 757 817-7203 nicholas.a.schuff.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.
09/08/2022


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