Information Collection

Application for Surrogate Association for DoD Self-Service (DS) Logon Form

IC 223842 under ICR 201807-0704-005 · OMB 0704-0559.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0559 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form X683 Application for Surrogate Association for DoD Self-Service (DS) Logon Form	Form
DD Form X683 Application for Surrogate Association for DoD Self-Servi ddX683 draft.pdf	Form

IC Title:

Application for Surrogate Association for DoD Self-Service (DS) Logon Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 32 CFR 221

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	DD Form X683	Application for Surrogate Association for DoD Self-Service (DS) Logon	ddX683 draft.pdf		Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: Defense Enrollment Eligibility Reporting Systems (DEERS)

FR Citation: 81 FR 49210

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	9,870	9,870

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.