Information Collection

Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552

IC 5234 under ICR 201109-0704-007 · OMB 0704-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 149 Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552	Form and Instruction
DD Form 149 APPLICATION FOR CORRECTION OF MILITARY RECORD UNDER THE DD 149 draft.pdf	Form and Instruction

IC Title:

Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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 and Instruction	DD Form 149	APPLICATION FOR CORRECTION OF MILITARY RECORD UNDER THE PROVISIONS OF TITLE 10, U.S. CODE, SECTION 1552	DD 149 draft.pdf		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: 33,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	33,000	0	33,000
Annual IC Time Burden (Hours)	16,500	0	16,500
Annual IC Cost Burden (Dollars)	49,170	-9,830	59,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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