DoD CAF Form 3: Request for Records

DoD Consolidated Adjudications Facility Request for Records

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0561 can be found here:

Documents and Forms

Document Name Document Type
Form DoD CAF Form 3 DoD CAF Form 3: Request for Records Form and Instruction
DoD CAF Form 3 Request for Records TAB 3 - DoD CAF Request for Records.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	DoD CAF Form 3: Request for Records	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 32 CFR 311 32 CFR 310

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DoD CAF Form 3	Request for Records	TAB 3 - DoD CAF Request for Records.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: DWHS E04: Privacy Act Case Files	FR Citation: 80 FR 19293

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	232	232

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.