Information Collection Request

Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552

ICR 201410-0704-009 · OMB 0704-0003 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DD Form 149 Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552 Form Modified Available
PIA Sections 1-2.pdf Supplementary Document Uploaded 2014-10-30 Available
SSN justification - signed.pdf Supplementary Document Uploaded 2014-10-20 Available
Supporting Statement 0704-0003 Final.doc Supporting Statement A Uploaded 2014-10-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5234 Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552 Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2017 36 Months From Approved 12/31/2014
36,110 0 33,000
18,055 0 16,500
130,899 0 49,170





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552 DD Form 149 Application for Correction of Military Record

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 36,110 33,000 0 0 3,110 0
Annual Time Burden (Hours) 18,055 16,500 0 0 1,555 0
Annual Cost Burden (Dollars) 130,899 49,170 0 0 81,729 0


Reginfo record details
  No