Information Collection

DoD Consent to Conduct Installation Records Check

IC 236654 under ICR 201906-0704-003 · OMB 0704-0586.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0586 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 3058 DoD Consent to Conduct Installation Records Check Form
DD Form 3058 Department of Defense Consent to Conduct Installation Re dd3058 draft 20190513.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	DoD Consent to Conduct Installation Records Check	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	DD Form 3058	Department of Defense Consent to Conduct Installation Records Check	dd3058 draft 20190513.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: 14,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	14,000	14,000
Annual IC Time Burden (Hours)	2,333	2,333
Annual IC Cost Burden (Dollars)	16,800	16,800

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.