Information Collection

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

IC 5237 under ICR 201109-0704-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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	Form
DD-293 Application for the Review of Discharge From the Armed F DD 293 draft.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: 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	DD-293	Application for the Review of Discharge From the Armed Forces of the United States	DD 293 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: 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	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	8,000	0	8,000
Annual IC Time Burden (Hours)	6,000	0	6,000
Annual IC Cost Burden (Dollars)	69,800	8,000	61,800

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authority Links	AUTHORITY LINKS.doc	08/30/2006
DoD Directive 1332.41	d133241p.pdf	08/30/2006

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