Personal Information Questionnaire

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0703-0012 can be found here:

Documents and Forms

Document Name Document Type
Form 10064 Personal Information Questionnaire Form and Instruction
10064 Personal Information Questionnaire NAVMC 10064.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Personal Information Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	10064	Personal Information Questionnaire	NAVMC 10064.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: 3,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,500	3,500
Annual IC Time Burden (Hours)	875	875
Annual IC Cost Burden (Dollars)	14,210	14,210

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.