Application for Survivor Access Card (IMCOM Form 44)

Application for Survivor Access Card

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.