Information Collection

Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552

IC 5234 under ICR 202205-0704-012 · OMB 0704-0003.

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 DD Form 0149 Application for Correction of Military Records Under the Provisions of Title 10, U.S. Code, Section 1552 dd149 DRAFT 20220613.pdf Yes Yes Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 20,749 0 -15,361 0 0 36,110
Annual IC Time Burden (Hours) 20,749 0 2,694 0 0 18,055
Annual IC Cost Burden (Dollars) 150,430 0 19,531 0 0 130,899

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.