Information Collection

Application for Department of Defense Child Care Fees

IC 243262 under ICR 202309-0704-004 · OMB 0704-0515.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2652 Application for Department of Defense Child Care Fees	Form and Instruction
DD Form 2652 Application for Department of Defense Child Care Fees dd2652 DRAFT 20230613 (OMB update, 508 compliant).pdf	Form and Instruction
DD Form 2652 Application for Department of Defense Child Care Fees dd2652 DRAFT 20230613 (OMB update, 508 compliant).pdf	Form and Instruction

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 and Instruction	DD Form 2652	Application for Department of Defense Child Care Fees	dd2652 DRAFT 20230613 (OMB update, 508 compliant).pdf		Yes	No	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	75,000	25,000	50,000
Annual IC Time Burden (Hours)	6,250	2,083	4,167
Annual IC Cost Burden (Dollars)	45,000	-317,500	362,500

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.