Application for Uniformed Services Identification Card - DEERS Enrollment

ICR 200506-0704-007

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 200506-0704-007
Historical Active 200205-0704-003
DOD/DODDEP
Application for Uniformed Services Identification Card - DEERS Enrollment
Revision of a currently approved collection   No
Regular
Approved with change 09/12/2005
Retrieve Notice of Action (NOA) 06/29/2005
  Inventory as of this Action Requested Previously Approved
09/30/2008 09/30/2008 09/30/2005
1,146,898 0 1,690,048
95,575 0 281,675
0 0 0

The Department of Defense provides members of the Uniformed Services (including military personnel), their eligible dependents, and other eligible individuals with a distinct ID card used to identify 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 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 DD-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 1,146,898 1,690,048 0 -543,150 0 0
Annual Time Burden (Hours) 95,575 281,675 0 -186,100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
06/29/2005


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