Application for Department of Defense Common Access Card - DEERS Enrollment

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD Form 1172-2 Application for Department of Defense Common Access Card - DEERS Enrollment	Form	Modified	Repair queued
OMB 83-C Change Request.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2013-08-29	Available
Supporting Statement.doc	Supporting Statement A	Uploaded 2010-12-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5503	Application for Department of Defense Common Access Card - DEERS Enrollment	Form	Modified

ICR Details

OMB Control No: 0704-0415	ICR Reference No: 201308-0704-009
Status: Historical Active	Previous ICR Reference No: 201012-0704-013
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Application for Department of Defense Common Access Card - DEERS Enrollment
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/29/2013
	Date Received in OIRA: 08/29/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	01/31/2014	01/31/2014
Responses	5,016,250	0	5,000,000
Time Burden (Hours)	334,417	0	333,333
Cost Burden (Dollars)	20,910,589	0	20,875,000

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Abstract: The Department of Defense provides active duty Uniformed Services' personnel (to include the Selected Reserve), DOD civilian employees, and eligible contractor employees with a distinct Common Access Card used as the standard identification card to enable physical access to buildings and controlled spaces, and gain access to the Department's computer networks and systems. This information collection supplies the necessary information to verify applicants' status and eligibility. The DD Form 1172-2 collects information and is the application used for issuance of the DoD ID Cards. ID cards are issued to uniformed service members, their dependents, and other eligible individuals and will be used as proof of identity, DoD affiliation, and providing benefits.

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Authorizing Statute(s): PL: Pub.L. 106 - 65 373 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 60415	09/30/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 60415	09/30/2010
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
Application for Department of Defense Common Access Card - DEERS Enrollment	DD Form 1172-2	Application for Department of Defense Common Access Card - DEERS Enrollment

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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	5,016,250	5,000,000	0	16,250	0	0
Annual Time Burden (Hours)	334,417	333,333	0	1,084	0	0
Annual Cost Burden (Dollars)	20,910,589	20,875,000	0	35,589	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Change request to increase DoD burden for issuing cards/benefits to same-sex spouses.

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Annual Cost to Federal Government: $4,187,996

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: 08/29/2013

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