REPORT OF DOD AND DEFENSE RELATED EMPLOYMENT AS REQUIRED BY PUBLIC LAW 91-121

ICR 198107-0704-012

OMB: 0704-0047

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0704-0047 198107-0704-012
Historical Active 198010-0704-002
DOD/DODDEP
REPORT OF DOD AND DEFENSE RELATED EMPLOYMENT AS REQUIRED BY PUBLIC LAW 91-121
No material or nonsubstantive change to a currently approved collection   No
Emergency 07/17/1981
Approved with change 07/17/1981
Retrieve Notice of Action (NOA) 07/17/1981
  Inventory as of this Action Requested Previously Approved
07/31/1984 07/31/1984 11/30/1985
900 0 900
500 0 500
0 0 0

THE REPORT REQUIRES RETIRED AND FORMER MEMBERS AND EMPLOYEES TO FILE FOR THREE YEARS FOLLOWING SEPARATION IF EMPLOYED BY A DOD CONTRACTOR AWARDED A NEGOTIATED CONTRACT OF $10 MIL OR MORE IN THE FISCAL YEAR. THE CONSOLIDATED REPORT IS SUBMITTED TO CONGRESS ANNUALLY. (APPLICATION OF THE INFORMATION IS LIMITED AND DELETION OF SECTION 410, PL 91-121 IS RECOMMENDED.)

None
None


No

1
IC Title Form No. Form Name
REPORT OF DOD AND DEFENSE RELATED EMPLOYMENT AS REQUIRED BY PUBLIC LAW 91-121 DD 1787

  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 900 900 0 0 0 0
Annual Time Burden (Hours) 500 500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
07/17/1981


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