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	Available
CHANGES TO FORM DD 1172.docx	Supplementary Document	Uploaded 2013-11-20	Repair queued
DEERS_PIA.pdf	Supplementary Document	Uploaded 2013-11-14	Available
DEERS_SORN_DMDC02.pdf	Supplementary Document	Uploaded 2013-11-14	Available
SSN Justification Memorandum.docx	Supplementary Document	Uploaded 2013-11-14	Repair queued
TAB A_Supporting Statement_1172-2_FINAL.doc	Supporting Statement A	Uploaded 2013-11-20	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: 201311-0704-003
Status: Historical Active	Previous ICR Reference No: 201308-0704-009
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Application for Department of Defense Common Access Card - DEERS Enrollment
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/07/2014
	Date Received in OIRA: 11/27/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2017	36 Months From Approved	01/31/2014
Responses	2,700,000	0	5,016,250
Time Burden (Hours)	135,000	0	334,417
Cost Burden (Dollars)	8,684,000	0	20,910,589

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Abstract: This information collection requirement is necessary to validate eligibility for all individuals applying for DoD benefits and privileges. These benefits and privileges include but are not limited to, medical coverage, DoD identification cards, access to DoD installations, buildings or facilities, and access to DoD computer systems and networks. This information collection is required to obtain the necessary data elements to determine eligible individual's benefits and privileges, to provide a proper identification card reflecting those benefits and privileges, and to maintain a centralized database of the eligible population.

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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:
	78 FR 51171	08/20/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 70283	11/25/2013
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	2,700,000	5,016,250	0	0	-2,316,250	0
Annual Time Burden (Hours)	135,000	334,417	0	0	-199,417	0
Annual Cost Burden (Dollars)	8,684,000	20,910,589	0	0	-12,226,589	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: The total annual respondents and total annual responses have been recalculated to reflect accurate counts. The new counts are the result of technical enhancements to DEERS which enable DMDC to scan and save this collection when it is submitted and then to run a report of the number of scans during a specific time period. In September 2013, DoD began enrolling same-sex spouses of uniformed service members, eligible civilian employees, and other eligible individuals in accordance with DoD Policy. This new population has been included in the new burden.

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Annual Cost to Federal Government: $1,107,000

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: 11/27/2013

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