Information Collection

Contractor Crew Member Summary

IC 262177 under ICR 202308-0704-003 · OMB 0704-0347.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 1821 Contractor Crew Member Summary	Form
Form DD Form 1821 Contractor Crew Member Summary Contractor Crew Member Summary	Form
DD Form 1821 Contractor Crew Member Summary DD_Form-1821_(CUI-when-filled-in).pdf	Form
DD Form 1821 Contractor Crew Member Summary DD_Form-1821_(CUI-when-filled-in).pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 1821				Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	30,795	30,795

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.

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