Information Collection

Department of Defense Security Agreement

IC 5289 under ICR 202212-0705-001 · OMB 0705-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0705-0010 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 441 Department of Defense Security Agreement	Form
DD Form 441 Department of Defense Security Agreement DD-441 20220726.pdf	Form

IC Title:

Department of Defense Security Agreement

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	DD Form 441	Department of Defense Security Agreement	DD-441 20220726.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,992

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,992	0	2,992
Annual IC Time Burden (Hours)	698	0	698
Annual IC Cost Burden (Dollars)	60,256	29,678	30,578

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.