Information Collection

Application for Survivor Access Card (IMCOM Form 44)

IC 250614 under ICR 202112-0702-001 · OMB 0702-0152.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0702-0152 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form IMCOM Form 44 Application for Survivor Access Card (IMCOM Form 44)	Form and Instruction
IMCOM Form 44 Application for Survivor Access Card 0702-SACA_IMCOM Form 44_V17_11.21.2021.docx	Form and Instruction
IMCOM Form 44 Application for Survivor Access Card 0702-SACA_IMCOM Form 44_V17_11.21.2021.docx	Form and Instruction

IC Title:

Application for Survivor Access Card (IMCOM Form 44)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	IMCOM Form 44	Application for Survivor Access Card	0702-SACA_IMCOM Form 44_V17_11.21.2021.docx		No		Printable Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 670

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	670	670
Annual IC Time Burden (Hours)	670	670
Annual IC Cost Burden (Dollars)	4,858	4,858

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.