Personal Information Questionnaire

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0703-0012 can be found here:

Documents and Forms

Document Name Document Type
Form NAVMC 100064 Personal Information Questionnaire Form and Instruction
NAVMC 100064 Personal Information Questionnaire NAVMC 10064.pdf Form and Instruction
MCO P1100-73.pdf MCO P1100.73 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Personal Information Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NAVMC 100064	Personal Information Questionnaire	NAVMC 10064.pdf		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16,700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	16,700	0	16,700
Annual IC Time Burden (Hours)	4,175	0	4,175
Annual IC Cost Burden (Dollars)	121,576	121,576	0

Documents for IC

Title	Document	Date Uploaded
MCO P1100.73	MCO P1100-73.pdf	02/20/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.