Information Collection

Pre-embarkation Certificate of Disinsection

IC 228841 under ICR 201710-0704-006 · OMB 0704-0568.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0568 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD 3044 Pre-embarkation Certificate of Disinsection Pre-embarkation Certificate of Disinsection	Form and Instruction
DD 3044 Pre-embarkation Certificate of Disinsection DD3044.pdf www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd3044.pdf	Form and Instruction

IC Title:

Pre-embarkation Certificate of Disinsection

Agency IC Tracking Number:

0704-AALH

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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 3044			http://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd3044.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	2,000	2,000

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.

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