ISMO International Fellows Personal Information Collection

OMB CONTROL NUMBER: 0704-XXXX
OMB EXPIRATION DATE: XX/XX/2024

AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information, 0704-XXXX, is estimated
to average 1 hour per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding the burden estimate or
burden reduction suggestions to the Department of Defense, Washington Headquarters
Services, at [email protected].
Respondents should be aware that notwithstanding any other provision of law, no person
shall be subject to any penalty for failing to comply with a collection of information if it
does not display a currently valid OMB control number.
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 2165, National Defense University; 10 U.S.C. 2163 Degree Granting
Authority for National Defense University and E.O. 9397, as amended (SSN).
PURPOSE: The data provided will be used to update your National Defense University (NDU)
record. NDU data are used to authenticate and identify NDU personnel and students; track
academic enrollment, assignments, progress, and assessments; track personnel records and
actions; create academic transcripts and related reports; facilitate award of degrees and
credentials; conduct analysis for regional and DoD academic accreditations; and create reports
for University leadership to aid in the development of effective curricula, facilitate academic
completion requirements.
ROUTINE USES: Data are shared with other Federal/State agencies and contractors for the
purpose of communicating educational credentials and accrediting University programs. For a
complete list of routine uses and authorities see the applicable system of records notice, National
Defense University (NDU) Student Data Files (September 21, 2010, 75 FR 57458). The notice
is located at:
https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570570/
dndu01/
DISCLOSURE: Voluntary. However, if data in NDU systems are not up-to-date, your NDU
entitlements/privileges and the ability of NDU systems to identify you as an NDU-affiliated
person could be delayed or inaccurate. The production of accurate academic transcripts may not
be possible. Home addresses will be used for mustering in the event of an officially declared
manmade or natural disaster (DoDI 3001.02) and for notification of a Privacy compromise, loss
or stolen (breached) personally identifiable information
(PII). If addresses are not correct these two requirements will not be performed with accuracy as
to your location.

In-Person Data Collection
Country
School
Program
Service
Grade
Rank
FirstName
MiddleName
LastName
EmailAddressPersonal
GoByName
Military/Civilian
DateofRank
DOB
Gender
Languages
Hobbies
Assignment 1
Assignment 2
Assignment 3
MaritialStatus
Smoker
Address
ApartmentComplex
Apt#
City
State
Zip
HomePhone
CellPhone
TruncatedFirstName
TruncatedMiddleName
TruncatedLastName
Passport#
PassportIssueDate
PassportExpirationDate
VisaNumber
VisaType
VisaIssueDate
VisaExpirationDate
VisaControlNumber
CityOfBirth
CountryOfBirth
Citizenship

DrivingLetterRequested
ExpectedPromotion
ExpectedPromoDate
DietRestrNoPork
DietRestrNoAlcohol
DietRestrNoShellfish
DietRestrVegOnly
DietRestrNoPeanuts
DietRestrNoDairy
DietRestrOTHER
Advance Requested (Max $3000)
Received OCONUS Advance
DependentCategory
DependentFirstName
DependentMiddleName
DependentLastName
DependentGender
DependentDOB
DependentArriveDate
DependentDepartDate
DependentPassport#
DependentVisaIntended
DependentVisa#
DependentVisaType
DependentResident
DependentITOAuthorized
DependentDrivingLtrReq
DependentCellPhone#
DependentEmailAddress
Copy/paste above if >1 deps.
DependentCategory
DependentFirstName
DependentMiddleName
DependentLastName
DependentGender
DependentDOB
DependentArriveDate
DependentDepartDate
DependentPassport#
DependentVisaIntended
DependentVisa#
DependentVisaType
DependentResident
DependentITOAuthorized
DependentDrivingLtrReq

DependentCellPhone#
DependentEmailAddress
DependentCategory
DependentFirstName
DependentMiddleName
DependentLastName
DependentGender
DependentDOB
DependentArriveDate
DependentDepartDate
DependentPassport#
DependentVisaIntended
DependentVisa#
DependentVisaType
DependentResident
DependentITOAuthorized
DependentDrivingLtrReq
DependentCellPhone#
DependentEmailAddress
DependentCategory
DependentFirstName
DependentMiddleName
DependentLastName
DependentGender
DependentDOB
DependentArriveDate
DependentDepartDate
DependentPassport#
DependentVisaIntended
DependentVisa#
DependentVisaType
DependentResident
DependentITOAuthorized
DependentDrivingLtrReq
DependentCellPhone#
DependentEmailAddress