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OMB Control No: 3095-0037	ICR Reference No: 202609-3095-002
Status: Received in OIRA	Previous ICR Reference No: 202205-3095-003
Agency/Subagency: NARA	Agency Tracking No:
Title: Requests for Civilian Service Records (formerly Forms Relating to Civilian Service Records)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/03/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	10,429	0
Time Burden (Hours)	869	0
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	10,429	-47,470	57,899
Annual Time Burden (Hours)	869	-3,955	4,824
Annual Cost Burden (Dollars)	0	0	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The agency removed NA Form 13064 reducing the burden hours.

Annual Cost to Federal Government: $0

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? No

Agency Contact: Kristin Phillips 616 240-6212 kristin.phillips@nara.gov

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