Information Collection

Request for Verification of Birth

IC 5240 under ICR 202004-0704-003 · OMB 0704-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD 372 Request for Verification of Birth	Form and Instruction
DD 372 Request for Verification of Birth dd0372 draft 20200519.pdf	Form and Instruction

IC Title:

Request for Verification of Birth

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 and Instruction	DD 372	Request for Verification of Birth	dd0372 draft 20200519.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: 150,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	150,000	10,000	140,000
Annual IC Time Burden (Hours)	12,500	1,020	11,480
Annual IC Cost Burden (Dollars)	90,000	-111,600	201,600

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.