Information Collection

Pentagon Reservation Parking Permit Application

IC 5462 under ICR 201512-0704-009 · OMB 0704-0395.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0395 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD-1199 Pentagon Reservation Parking Permit Application	Form
DD-1199 Pentagon Reservation Parking Permit Application DPFPA_02_DWHS_D04_dd1199_20151201.pdf	Form

IC Title:

Pentagon Reservation Parking Permit Application

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	DD-1199	Pentagon Reservation Parking Permit Application	DPFPA_02_DWHS_D04_dd1199_20151201.pdf		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: 4,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 15 %

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	4,200	-5,800	10,000
Annual IC Time Burden (Hours)	350	-483	833
Annual IC Cost Burden (Dollars)	12,810	12,810	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.