[Federal Register Volume 69, Number 181 (Monday, September 20, 2004)]
[Notices]
[Page 56259]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-21076]


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SELECTIVE SERVICE SYSTEM


Form Submitted to the Office of Management and Budget for 
Extension of Clearance

AGENCY: Selective Service System.

ACTION: Notice.

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    The following form has been submitted to the Office of Management 
and Budget (OMB) for extension of clearance in compliance with the 
Paperwork Reduction Act (44 U.S.C. Chapter 35):

SSS FORM--404

    Title: Potential Board Member Information.
    Need and/or Use: Is used to identify individuals willing to serve 
as members of local, appeal or review boards in the Selective Service 
System.
    Respondents: Potential board members.
    Burden: A burden of 15 minutes or less on the individual 
respondent.
    Copies of the above identified form can be obtained upon written 
request to the Selective Service System, Reports Clearance Officer, 
1515 Wilson Boulevard, Arlington, Virginia 22209-2425.
    Written comments and recommendations for the proposed extension of 
clearance of the form should be sent within 30 days of publication of 
this notice to the Selective Service System, Reports Clearance Officer, 
1515 Wilson Boulevard, Arlington, Virginia 22209-2425.
    A copy of the comments should be sent to Office of Information and 
Regulatory Affairs, Attention: Desk Officer, Selective Service System, 
Office of Management and Budget, New Executive Office Building, Room 
3235, Washington, DC 20503.

    Dated: September 9, 2004.
Jack Martin,
Acting Director.
[FR Doc. 04-21076 Filed 9-17-04; 8:45 am]
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