Application for Department of Defense Common Access Card - DEERS Enrollment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0415 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 1172-2 Application for Department of Defense Common Access Card - DEERS Enrollment Form
DD Form 1172-2 Application for Department of Defense Common Access Card dd1172-2draft.pdf Form
Tab 1_1000.25.pdf 1000.25 IC Document
Tab 2_1000.13.pdf 1000.13 IC Document
Tab 3_FIPS 201.pdf FIPS 201 IC Document
DEERS RAPIDS Lockdown.pdf DEERS RAPID LOCKDOWN IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Department of Defense Common Access Card - DEERS Enrollment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD Form 1172-2	Application for Department of Defense Common Access Card - DEERS Enrollment	dd1172-2draft.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: DMDC 02 - Defense Eligibility Records	FR Citation: 72 FR 55757

Number of Respondents: 5,016,250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,016,250	16,250	5,000,000
Annual IC Time Burden (Hours)	334,417	1,084	333,333
Annual IC Cost Burden (Dollars)	20,910,589	35,589	20,875,000

Documents for IC

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