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Application for Review of Discharge or Dismissal from the Armed Forces of the United States
Application for Review of Discharge or Dismissal from the Armed Forces of the United States
OMB: 0704-0004
IC ID: 5235
OMB.report
DOD/DODDEP
OMB 0704-0004
ICR 199707-0704-003
IC 5235
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0004 can be found here:
2022-12-28 - Revision of a currently approved collection
2019-10-28 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Review of Discharge or Dismissal from the Armed Forces of the United States
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DD293
Yes
Yes
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
13,100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
10 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
13,100
0
13,100
0
0
0
Annual IC Time Burden (Hours)
9,825
0
9,825
0
0
0
Annual IC Cost Burden (Dollars)
6,681,000
0
6,681,000
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.