Application for Department of Defense Common Access Card - DEERS Enrollment

Application for IdentificationCard/DEERS Enrollment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0415 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 1172-2 Application for Department of Defense Common Access Card - DEERS Enrollment Form and Instruction
DD Form 1172-2 Application for Indentification Card/DEERS Enrollment dd1172-2 20170123.PDF Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Department of Defense Common Access Card - DEERS Enrollment	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD Form 1172-2	Application for Indentification Card/DEERS Enrollment	dd1172-2 20170123.PDF		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: DMDC 02 - Defense Enrollment Eligibility Reporting Systems (DEERS)	FR Citation: 77 FR 69807

Number of Respondents: 3,700,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 14 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,700,000	1,000,000	2,700,000
Annual IC Time Burden (Hours)	185,000	50,000	135,000
Annual IC Cost Burden (Dollars)	3,848,000	-4,836,000	8,684,000

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.