Information Collection

NAVCRUIT 1130/104, United States Navy Tattoo Screening Certificate

IC 237878 under ICR 201909-0703-001 · OMB 0703-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0703-0029 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NAVCRUIT 1130/104 NAVCRUIT 1130/104, United States Navy Tattoo Screening Certificate	Form
NAVCRUIT 1130/104 United States Navy Tattoo Screening Certificate 0703-0029_NAVCRUIT Form 1130_104_9.19.19.pdf	Form

IC Title:

NAVCRUIT 1130/104, United States Navy Tattoo Screening Certificate

Agency IC Tracking Number:

0703-0029

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	NAVCRUIT 1130/104	United States Navy Tattoo Screening Certificate	0703-0029_NAVCRUIT Form 1130_104_9.19.19.pdf		No		Printable Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,000

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	12,000	12,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	43,500	43,500

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.