Request for Verification of Birth

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD Form 372 Request for Verification of Birth	Form	Modified	Available
OMB Spt Stmt.doc	Supporting Statement A	Uploaded 2011-07-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5240	Request for Verification of Birth	Form	Modified

ICR Details

OMB Control No: 0704-0006	ICR Reference No: 201107-0704-003
Status: Historical Active	Previous ICR Reference No: 200801-0704-001
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Request for Verification of Birth
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/03/2011
	Date Received in OIRA: 07/04/2011
Terms of Clearance: The Department asked to resubmit this collection in one year to provide more detail on the PIA and SORN requirements of the collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2012	36 Months From Approved
Responses	140,000	0	0
Time Burden (Hours)	11,480	0	0
Cost Burden (Dollars)	201,600	0	0

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Abstract: Title 10, USC, Sections 504, 505, 532, and 5013 require that applicants must meet minimum and maximum age requirements and citizenship requirements for enlistment in the Armed Forces. If an applicant is unable to produce a birth certificate, this information is collected using the DD Form 372, "Request for Verification of Birth." This form is sent to state or local agencies and is considered the official DOD request for birth verification.

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Authorizing Statute(s): US Code: 10 USC 504 Name of Law: null
   US Code: 10 USC 505 Name of Law: null
   US Code: 10 USC 532 Name of Law: null
   US Code: 10 USC 5013 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 81237	12/27/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 81237	12/27/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Request for Verification of Birth	DD Form 372	Request for Verification of Birth

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ICR Summary of Burden

table that charts list of burden

	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	140,000	0	0	0	40,000	100,000
Annual Time Burden (Hours)	11,480	0	0	0	3,180	8,300
Annual Cost Burden (Dollars)	201,600	0	0	0	52,600	149,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Increase in respondents.

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Annual Cost to Federal Government: $1,001,300

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/04/2011

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