Information Collection

OPNAV 1770/1 Consent to Release Personal Information

IC 238576 under ICR 202210-0703-002 · OMB 0703-0076.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPNAV 1770/1 OPNAV 1770/1 Consent to Release Personal Information	Form
OPNAV 1770/1 Consent to Release Personal Information DRAFT 3 OPNAV 1770 1 (REV 2022) Consent.pdf	Form
OPNAV 1770/1 Consent to Release Personal Information DRAFT 3 OPNAV 1770 1 (REV 2022) Consent.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	OPNAV 1770/1	Consent to Release Personal Information	DRAFT 3 OPNAV 1770 1 (REV 2022) Consent.pdf		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

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	Previously Approved
Annual Number of Responses for this IC	600	0	600
Annual IC Time Burden (Hours)	300	0	300
Annual IC Cost Burden (Dollars)	12,309	4,449	7,860

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.