Information Collection

Enlistee Financial Statement

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NAVCRUIT 1130/13 Enlistee Financial Statement Enlistee Financial Statement	Form
NAVCRUIT 1130/13 Enlistee Financial Statement 1130_13 (04_2014)(corrected).pdf	Form

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NAVCRUIT 1130/13				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 %

table that charts list of burden
	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

table that charts IC Documents
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.

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