Information Collection

DD Form 3122

IC 263046 under ICR 202310-0704-002 · OMB 0704-0581.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 3122 DD Form 3122	Form and Instruction
DD Form 3122 MILITARY FUNERAL HONORS REQUEST FORM dd3122 DRAFT 20240626.PDF	Form and Instruction

IC Title:

DD Form 3122

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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 3122	MILITARY FUNERAL HONORS REQUEST FORM	dd3122 DRAFT 20240626.PDF		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: 250,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250,000	250,000
Annual IC Time Burden (Hours)	62,500	62,500
Annual IC Cost Burden (Dollars)	452,500	452,500

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.