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⚠️ Notice: This information collection may be referencing outdated material.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 DD 1172 - DRAFT 2013.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	DD 1172 - DRAFT 2013.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: 77 FR 69807

Number of Respondents: 2,700,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,700,000	-2,316,250	5,016,250
Annual IC Time Burden (Hours)	135,000	-199,417	334,417
Annual IC Cost Burden (Dollars)	8,684,000	-12,226,589	20,910,589

Documents for IC

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