Information Collection

Application for the Review of Discharge from the Armed Forces of the United States

IC 5237 under ICR 201005-0704-001 · OMB 0704-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD-293 Application for the Review of Discharge From the Armed Forces of the United States Application for the Review of Discharge from the Armed Forces of the United States	Form
DD-293 Application for the Review of Discharge From the Armed F Draft DD 293.pdf	Form
AUTHORITY LINKS.doc Authority Links	IC Document
d133241p.pdf DoD Directive 1332.41	IC Document

IC Title:

Application for the Review of Discharge from the Armed Forces of the United States

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD-293				Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,000	2,393	5,607
Annual IC Time Burden (Hours)	6,000	3,196	2,804
Annual IC Cost Burden (Dollars)	61,800	27,317	34,483

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authority Links		08/30/2006
DoD Directive 1332.41		08/30/2006

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

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