Information Collection Request

Police Records Check

ICR 202110-0704-002 · OMB 0704-0007 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form DD Form 369 Police Records Check Form Modified Repair queued
0704-0007_SSA_3.29.22.docx Supporting Statement A Uploaded 2022-03-29 Repair queued
0704-0007_PIA_MIRS_Sec1.pdf Supplementary Document Uploaded 2022-03-28 Repair queued
0704-0007_DD369_SSN Justification.pdf Supplementary Document Uploaded 2021-10-07 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
5243 Police Records Check Form Modified
ICR Details
0704-0007 202110-0704-002
Received in OIRA 201902-0704-010
DOD/DODDEP
Police Records Check
Extension without change of a currently approved collection   No
Regular 03/29/2022
  Requested Previously Approved
36 Months From Approved 03/31/2022
175,000 175,000
78,750 78,750
1,377,250 2,495,500

10 USC 504, 505, 508, and 12102 established minimum standards for entry into the Armed Forces. This information collection is necessary to gather data on applicants for military enlistment. The DD Form 369, Police Record Check, is used to screen and identify applicants who may have a discreditable involvement with the police or other law enforcement agencies. It is used to identify those applicants who may be undesirable for military service or required a waiver to enlist. It is initiated whenever an applicant indicates any type of criminal involvement or arrest record other than a minor traffic violation.

US Code: 10 USC 508
   US Code: 10 USC 12102
   US Code: 10 USC 504
   US Code: 10 USC 505
  
None

Not associated with rulemaking

  86 FR 72581 12/22/2021
87 FR 17275 03/28/2022
No

1
IC Title Form No. Form Name
Police Records Check DD Form 369 Police Record Check

  Total Request 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 175,000 175,000 0 0 0 0
Annual Time Burden (Hours) 78,750 78,750 0 0 0 0
Annual Cost Burden (Dollars) 1,377,250 2,495,500 0 -1,118,250 0 0
No
No

$1,459,500
No
    Yes
    Yes
No
No
No
No
LaTarsha Yeargins 571 372-2089 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/29/2022