Information Collection Request

Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552

ICR 201909-0704-006 · OMB 0704-0003 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DD Form 0149 Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552 Form and Instruction Modified Available
Supporting Statement A 0704-0003 - 09.20.2019.doc Supporting Statement A Uploaded 2019-09-20 Available
PIA Sections 1-2.pdf Supplementary Document Uploaded 2019-09-20 Available
SSJM for Form 149 (Accepted).pdf Supplementary Document Uploaded 2019-09-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5234 Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552 Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2022 36 Months From Approved
36,110 0 0
18,055 0 0
130,899 0 0





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552 DD Form 0149 Application for Correction of Military Records Under the Provisions of Title 10, U.S. Code, Section 1552

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 36,110 0 0 0 0 36,110
Annual Time Burden (Hours) 18,055 0 0 0 0 18,055
Annual Cost Burden (Dollars) 130,899 0 0 0 0 130,899


Reginfo record details
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