Exchange Official Personnel Folder - Privilege Card

ICR 202112-0702-002

OMB: 0702-0129

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2021-12-29
Supplementary Document
2021-12-29
Supplementary Document
2021-12-29
Supporting Statement A
2021-12-30
Supplementary Document
2021-12-13
IC Document Collections
IC ID
Document
Title
Status
219006 Modified
ICR Details
0702-0129 202112-0702-002
Received in OIRA 201812-0702-001
DOD/DOA
Exchange Official Personnel Folder - Privilege Card
Revision of a currently approved collection   No
Regular 12/30/2021
  Requested Previously Approved
36 Months From Approved 01/31/2022
207 2,500
52 625
375 4,525

Dependents and Exchange Retirees wishing to obtain or maintain status as an Exchange authorized patron for shopping privileges submit applications for an approved patronage card.

EO: EO 9397 Name/Subject of EO: SSN
   US Code: 10 USC 3013 Name of Law: Secretary of the Army
   US Code: 10 USC 8013 Name of Law: Secretary of the Air Force
  
None

Not associated with rulemaking

  86 FR 37138 07/14/2021
86 FR 74406 12/30/2021
No

1
IC Title Form No. Form Name
Identification and Privilege Card Application Exchange Form 1100-016 Exchange From Privilege Card

  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 207 2,500 0 -2,293 0 0
Annual Time Burden (Hours) 52 625 0 -573 0 0
Annual Cost Burden (Dollars) 375 4,525 0 -4,150 0 0
No
Yes
Miscellaneous Actions
Consultations were held with the Exchange Human Resource directorate responsible for collection of information. Due to protective measures taken during the COVID-19 pandemic, collection has decreased significantly. The Exchange anticipates this condition to continue for the next two to three years, or possibly longer. Individuals completing applications for dependent cards do not have an average increase in hourly pay. There has been a slight difference in Exchange hourly pay due to the consideration of Human Resource staff in field locations who process collective documents.

$47,786
No
    Yes
    Yes
No
No
No
No
James Satterwhite 571 515-0304 [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.
12/30/2021


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