Information Collection

Application for Department of Defense Common Access Card - DEERS Enrollment

IC 5503 under ICR 201701-0704-003 · OMB 0704-0415.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.