Request for Reference

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD Form 370 Request for Reference	Form	Unchanged	Available
0704-0167 Supporting Stmt.doc	Supporting Statement A	Uploaded 2008-08-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5270	Request for Reference	Form	Unchanged

ICR Details

OMB Control No: 0704-0167	ICR Reference No: 201201-0704-003
Status: Historical Inactive	Previous ICR Reference No: 200808-0704-002
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Request for Reference
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 02/22/2012
	Date Received in OIRA: 01/31/2012
Terms of Clearance: DOD needs to resubmit this collection with a supporting statement which matches the changes to the form. In particular, the revisions to the form discussed in the supporting statement do not appear on the revised form itself.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2012	36 Months From Approved	02/29/2012
Responses	50,000	0	50,000
Time Burden (Hours)	4,150	0	4,150
Cost Burden (Dollars)	74,500	0	74,500

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Abstract: Title 10 USC, Sections 504, 505, 508, and 12102 establish minimum standards for enlistment in the Armed Forces. This information collection is for reference information on individuals applying for enlistment in the Armed Forces of the United States who require a waiver. The form associated with this information collection, DD Form 370, "Request for Reference", is used by recruiters to obtain reference information on applicants who have admitted to committing a civil or criminal offense. The respondents may provide character information that would allow the appicant to be considered.

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Authorizing Statute(s): US Code: 10 USC 505 Name of Law: null
   US Code: 10 USC 504 Name of Law: null
   US Code: 10 USC 508 Name of Law: null
   US Code: 10 USC 12102 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:
	73 FR 31437	06/02/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 50945	08/29/2008
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 Reference	DD Form 370	Request for Reference

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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:

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Annual Cost to Federal Government: $502,400

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: 01/31/2012

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