Exchange Official Personnel Folder - Privilege Card

Forms and Documents

Document Name	Status
Form Exchange Form 1100 Identification and Privilege Card Application Form	Modified
0702-0129_DraftSORN_12.7.2021.docx Supplementary Document	2021-12-29
0702-0129_SSNJ_8.23.2021.docx Supplementary Document	2021-12-29
0702-0129_PIA_9.1.2021.pdf Supplementary Document	2021-12-29
0702-0129_SSA_12.30.2021.docx Supporting Statement A	2021-12-30
DD FORM 2574(Portrait View) 2021-0702-0129.pdf Supplementary Document	2021-12-13

IC Document Collections

IC ID	Document Title	Status
219006	Identification and Privilege Card Application Form	Modified

ICR Details

OMB Control No: 0702-0129	ICR Reference No: 202112-0702-002
Status: Received in OIRA	Previous ICR Reference No: 201812-0702-001
Agency/Subagency: DOD/DOA	Agency Tracking No:
Title: Exchange Official Personnel Folder - Privilege Card
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/30/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2022
Responses	207	2,500
Time Burden (Hours)	52	625
Cost Burden (Dollars)	375	4,525

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Abstract: 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.

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Authorizing Statute(s): 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
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 37138	07/14/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 74406	12/30/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

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

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ICR Summary of Burden

	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: 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.

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Annual Cost to Federal Government: $47,786

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/30/2021

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