OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Request for Waiver of Service Obligation, Request for Deferment of Service Obligation, Application for Review

ICR 201106-2133-002 · OMB 2133-0510 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form MA-935 Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review Form and Instruction Modified Available
30-day FR Notice.pdf Supplementary Document Uploaded 2011-06-07 Available
60-Day FR Notice.pdf Supplementary Document Uploaded 2011-06-07 Repair queued
Supporting Statement.docx Supporting Statement A Uploaded 2011-11-15 Available
IC Document Collections
IC IDCollectionTypeStatusForm
26651 Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review Form and Instruction Modified
ICR Details
2133-0510 201106-2133-002
Historical Active 200805-2133-004
DOT/MARAD 2133-0510
Request for Waiver of Service Obligation, Request for Deferment of Service Obligation, Application for Review
Revision of a currently approved collection   No
Regular
Approved with change 11/18/2011
Retrieve Notice of Action (NOA) 08/30/2011
In the supporting statement, MARAD added the cost burden to question 13 and monetized the time burden in question 12.
  Inventory as of this Action Requested Previously Approved
11/30/2014 36 Months From Approved 11/30/2011
11 0 21
3 0 8
7 0 0
Students and graduates of the U.S. Merchant Marine Academy and State maritime academies are required to complete these forms when requesting waivers and/or deferments of their service obligation contract.
US Code: 46 USC 51310 Name of Law: null
   US Code: 46 USC 51510 Name of Law: null
  
None
Not associated with rulemaking
  76 FR 12219 03/04/2011
76 FR 32974 06/07/2011
No
  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 11 21 0 -10 0 0
Annual Time Burden (Hours) 3 8 0 -5 0 0
Annual Cost Burden (Dollars) 7 0 0 7 0 0
No
Yes
Changing Regulations
The agency has made the requirements for granting waivers stricter. This program change has reduced the number of waiver requests since the last OMB approval cycle.
$1,017
No
No
No
No
No
Uncollected
Rita Jackson 202 366-0284 [email protected]
  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.
08/30/2011