Information Collection

Enlistee Financial Statement

IC 5215 under ICR 201404-0703-001 · OMB 0703-0020.

Documents and Forms

Document Name Document Type
Form NAVCRUIT 1130/13 Enlistee Financial Statement Form
NAVCRUIT 1130/13 Enlistee Financial Statement 1130_13 (04_2014)(corrected).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Enlistee Financial Statement	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	NAVCRUIT 1130/13	Enlistee Financial Statement	1130_13 (04_2014)(corrected).pdf		Yes	Yes	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5,000	1,700	3,300
Annual IC Time Burden (Hours)	2,750	275	2,475
Annual IC Cost Burden (Dollars)	66,000	66,000	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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