Record of Military Processing - Armed Forces of the United States

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Request for Examin Record of Military Processing - Armed Forces of the United States	Form and Instruction	Modified	Missing upstream
0704-0173_SSA_11.25.2024.docx	Supporting Statement A	Uploaded 2024-11-25	Repair queued
USMEPCOM_SSNJ Decision Memo.pdf	Supplementary Document	Uploaded 2024-09-25	Available
USMEPCOM_MIRS-DA00097-PIA Sec1_2024-Draft.pdf	Supplementary Document	Uploaded 2024-09-25	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5273	Record of Military Processing - Armed Forces of the United States	Form and Instruction	Modified

ICR Details

OMB Control No: 0704-0173	ICR Reference No: 202409-0704-013
Status: Received in OIRA	Previous ICR Reference No: 202109-0704-003
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Record of Military Processing - Armed Forces of the United States
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/27/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2024
Responses	846,000	846,000
Time Burden (Hours)	296,100	296,100
Cost Burden (Dollars)	2,144,610	2,164,724

---

Abstract: This information collection requirement is necessary to gather the required data for determining eligibility to join the Armed Forces and for establishing personal records on those enlisting. USMEPCOM Form 680-3A-E serves as the initial medical release authorization, processing checklist and security verification form for applicants applying for military service to record qualification requirements. Information collected on USMEPCOM Form 680-3A-E is transferred electronically into DD Form 1966 and helps decrease administration time required to complete the applicant's record.

---

Authorizing Statute(s): US Code: 10 USC 504
   US Code: 10 USC 505
   US Code: 14 USC 351
   US Code: 10 USC 1012
   US Code: 14 USC 632
   US Code: 50 USC 451
   US Code: 10 USC 508
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 66700	08/16/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 92667	11/22/2024
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Record of Military Processing - Armed Forces of the United States	Request for Examination , DD Form 1966	USMEPCOM FORM 680-3 ,   Record of Military Processing - Armed Forces of the United States

---

ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	846,000	846,000	0	0	0	0
Annual Time Burden (Hours)	296,100	296,100	0	0	0	0
Annual Cost Burden (Dollars)	2,144,610	2,164,724	0	-20,114	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $13,772,244

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/27/2024

---