Request for Verification of Birth

Forms and Documents

Document Name	Status
Form DD Form 372 Request for Verification of Birth Form	Modified
MIRS PIA 02-2012.pdf Supplementary Document	2012-08-31
CG SORN.pdf Supplementary Document	2012-08-31
AF SORN.pdf Supplementary Document	2012-08-31
MC SORN.pdf Supplementary Document	2012-08-31
Navy SORN.pdf Supplementary Document	2012-08-31
Army SORN.pdf Supplementary Document	2012-08-31
Spt Stmt- rev.doc Supporting Statement A	2012-11-19

IC Document Collections

IC ID	Document Title	Status
5240	Request for Verification of Birth Form	Modified

ICR Details

OMB Control No: 0704-0006	ICR Reference No: 201208-0704-002
Status: Historical Active	Previous ICR Reference No: 201107-0704-003
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Request for Verification of Birth
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/19/2012
	Date Received in OIRA: 08/31/2012
Terms of Clearance: This collection is approved based on the revised materials provided by the Department.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2015	36 Months From Approved	11/30/2012
Responses	140,000	0	140,000
Time Burden (Hours)	11,480	0	11,480
Cost Burden (Dollars)	201,600	0	201,600

---

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.

---

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

---

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

---

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

---

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

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

---

ICR Summary 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	140,000	0	0	0	0
Annual Time Burden (Hours)	11,480	11,480	0	0	0	0
Annual Cost Burden (Dollars)	201,600	201,600	0	0	0	0

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:

---

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

---

Common Form ICR:  No

---

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: 08/31/2012

---