Information Collection

Personal Information Questionnaire

IC 5207 under ICR 201012-0703-002 · OMB 0703-0012.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NAVMC 100064 Personal Information Questionnaire 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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NAVMC 100064				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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	16,700	16,700
Annual IC Time Burden (Hours)	4,175	4,175
Annual IC Cost Burden (Dollars)	121,576	121,576

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MCO P1100.73		02/20/2007

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].