DoD New Hire Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD X741 Term Employment Statement of Understanding	Form	New	Available
Form DD X739 Civilian Employee's Military Reserve, Guard, or Retiree Data	Form	New	Available
Form DD X735 Release/Consent Statement	Form	New	Available
0704-AATT - Supporting Statement A - 5.29.18.docx	Supporting Statement A	Uploaded 2018-06-01	Available
DD X739_SSN Just Memo_20160829dw.pdf	Supplementary Document	Uploaded 2018-05-29	Available
DD X741_SSN Just Memo_20160829 (3).pdf	Supplementary Document	Uploaded 2018-05-29	Available
DD X735_SSN Just Memo_20160829.pdf	Supplementary Document	Uploaded 2018-05-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
231593	DoD New Hire Forms	Form	New	Term Employment Statement of Understanding
231593	DoD New Hire Forms	Form	New	Civilian Employee's Military Reserve, Guard, or Retiree Data
231593	DoD New Hire Forms	Form	New	Release/Consent Statement

ICR Details

OMB Control No: 0704-0576	ICR Reference No: 201805-0704-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOW/DODDEP	Agency Tracking No: 0704-AATT
Title: DoD New Hire Forms
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/11/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/01/2018
Terms of Clearance: This collection is approved based on the revised materials provide by the Department. DOD should report this collection as part of the Information Collection Budget.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved
Responses	82,000	0	0
Time Burden (Hours)	6,833	0	0
Cost Burden (Dollars)	49,200	0	0

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Abstract: This information collection is necessary to ensure that all new hires across the Department of Defense meet the basic requirements of civil service. The New Hire Forms, DD X735, “Release/Consent Statement,” DD X739, “Civilian Employee’s Military Reserve, Guard, or Retiree Data,” and DD X741, “Term Employment Statement of Understanding,” supplant and standardize the paperwork used throughout the Department of Defense to verify the eligibility of onboarding employees.

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Authorizing Statute(s): US Code: 42 USC 13041 Name of Law: Requirement for Background Checks
   US Code: 5 USC 3301 Name of Law: Government Organization and Employees
   US Code: 32 USC 101 Name of Law: National Guard
   EO: EO 9397 Name/Subject of EO: Use of Social Security Numbers
   US Code: 10 USC 3013 Name of Law: Armed Forces; Secretary of the Army
   EO: EO 11190 Name/Subject of EO: Ready Reserve of the Armed Forces
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 12350	03/21/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 25446	06/01/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
DoD New Hire Forms	DD X735, DD X739, DD X741	Release/Consent Statement ,   Civilian Employee's Military Reserve, Guard, or Retiree Data ,   Term Employment Statement of Understanding

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	82,000	0	0	82,000	0	0
Annual Time Burden (Hours)	6,833	0	0	6,833	0	0
Annual Cost Burden (Dollars)	49,200	0	0	49,200	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is an existing collection currently in use without an OMB Control Number using separate Component-internal forms. The current collection will standardize the instruments for onboarding across DoD, at which the Component-internal forms will be discontinued.

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Annual Cost to Federal Government: $861,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/01/2018

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