Information Collection

HR Relocation Request Templates

IC 219107 under ICR 201511-0702-003 · OMB 0702-0131.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0702-0131 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HR Relocation Request Templant (Portrait).PDF	Other-Online database
Sample ADN PA and Instructions- Relocation Request for Overseas to Overseas.docx Agency Disclosure Notice, Privacy Act Statement, and Instructions for Relocation Request for Overseas to Overseas	IC Document
Sample ADN PA and Instructions- Request for Official PCS Orders (Conus to Overseas) -.docx Agency Disclosure Notice, Privacy Act Statement, and Instructions for Request for Official PCS Orders (Conus to Overseas)	IC Document
Sample ADN PA and Instructions-Cartus Services Request.docx Agency Disclosure Notice, Privacy Act Statement, and Instructions for Cartus Services Request	IC Document
Sample ADN PA and Instructions-Household Goods Request.docx Agency Disclosure Notice, Privacy Act Statement, and Instructions for Household Goods Request	IC Document
Sample ADN PA and Instructions-Overseas to CONUS - PCS Request.docx Agency Disclosure Notice, Privacy Act Statement, and Instructions for Overseas to CONUS PCS Request	IC Document

IC Title:

HR Relocation Request Templates

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-Online database					Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	263	263
Annual IC Cost Burden (Dollars)	1,904	1,904

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Agency Disclosure Notice, Privacy Act Statement, and Instructions for Relocation Request for Overseas to Overseas		11/30/2015
Agency Disclosure Notice, Privacy Act Statement, and Instructions for Request for Official PCS Orders (Conus to Overseas)		11/30/2015
Agency Disclosure Notice, Privacy Act Statement, and Instructions for Cartus Services Request		11/30/2015
Agency Disclosure Notice, Privacy Act Statement, and Instructions for Household Goods Request		11/30/2015
Agency Disclosure Notice, Privacy Act Statement, and Instructions for Overseas to CONUS PCS Request		11/30/2015

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

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