Information Collection

Request for Reference

IC 5270 under ICR 202007-0704-006 · OMB 0704-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0167 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 370 Request for Reference	Form
DD Form 370 Request for Reference 0704-0167_DD0370_Request for Reference_draft 20200519.pdf	Form
0704-0167_AirForce_SORN.pdf AirForce SORN	IC Document
0704-0167_NavyMC-SORN1.pdf NAVY/MC SORN1	IC Document
0704-0167_NavyMC-SORN2.pdf NAVY/MC SORN2	IC Document
0704-0167_ArmySORN.pdf ARMY SORN	IC Document
0704-0167_Army_PIA.pdf ARMY PIA	IC Document
0704-0167_AirForce_PIA.pdf AIR FORCE PIA	IC Document
0704-0167_Navy_PIA.pdf NAVY PIA	IC Document
0704-0167_SSA_04.22.2020.DOCX Supporting Statement	IC Document

IC Title:

Request for Reference

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	DD Form 370	Request for Reference	0704-0167_DD0370_Request for Reference_draft 20200519.pdf		Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	50,000	0	50,000
Annual IC Time Burden (Hours)	8,500	4,350	4,150
Annual IC Cost Burden (Dollars)	61,500	-13,000	74,500

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.