Application for Uniformed Services Identification Card -- DEERS Enrollment

ICR 199607-0704-004

OMB: 0704-0020

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
0704-0020 199607-0704-004
Historical Active 199308-0704-002
DOD/DODDEP
Application for Uniformed Services Identification Card -- DEERS Enrollment
Revision of a currently approved collection   No
Regular
Approved without change 08/07/1996
Retrieve Notice of Action (NOA) 07/05/1996
Approval is contingent upon amending the Privacy Act Statement to clarify that one use of the information may be to share it with the Department of Justice for criminal litigation.
  Inventory as of this Action Requested Previously Approved
08/31/1999 08/31/1999 08/31/1996
2,459,785 0 2,125,000
410,784 0 354,167
0 0 0

The Department of Defense provides members of the Uniformed Services, their status as an active duty, Reserve, retired member, or civilian, and as an authorization card for Uniformed Services benefits. This information collection supplies the necessary information to identify applicants' status and eligibility. The DD Form 1172 collects information and is the application used for issuance of the Uniformed Services identification card.

None
None


No

1
IC Title Form No. Form Name
Application for Uniformed Services Identification Card -- DEERS Enrollment DDFORM-1172

  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 2,459,785 2,125,000 0 334,785 0 0
Annual Time Burden (Hours) 410,784 354,167 0 56,617 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/05/1996


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