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Police Records Check
Police Records Check
OMB: 0704-0007
IC ID: 5243
OMB.report
DOD/DODDEP
OMB 0704-0007
ICR 202110-0704-002
IC 5243
( )
Documents and Forms
Document Name
Document Type
Form DD Form 369
Police Records Check
Form
DD Form 369 Police Record Check
dd369 draft 20211012.pdf
Form
DD Form 369 Police Record Check
dd369 draft 20211012.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Police Records Check
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DD Form 369
Police Record Check
dd369 draft 20211012.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
175,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
10 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
175,000
0
0
0
0
175,000
Annual IC Time Burden (Hours)
78,750
0
0
0
0
78,750
Annual IC Cost Burden (Dollars)
1,377,250
0
-1,118,250
0
0
2,495,500
Documents for IC
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.