Information Collection Request

Application for the Review of Discharge from the Armed Forces of the United States

ICR 202508-0704-003 · OMB 0704-0004 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DD Form 293 Application for the Review of Discharge from the Armed Forces of the US. Form Modified Available
Form DD Form 293 Application for the Review of Discharge from the Armed Forces of the United States Form Modified Repair queued
0704-0004_Services Board screenshots_12.08.2025.docx Supplementary Document Uploaded 2025-12-09 Available
0704-0004_Services Board screenshots_12.08.2025.docx Supplementary Document Uploaded 2025-12-09 Repair queued
0704-0004_SSN Memo renewal.pdf Supplementary Document Uploaded 2025-08-07 Available
0704-0004_SSN Memo renewal.pdf Supplementary Document Uploaded 2025-08-07 Repair queued
0704-0004_PIA_Sec1_Navy.pdf Supplementary Document Uploaded 2025-08-07 Repair queued
0704-0004_PIA_Sec1_Navy.pdf Supplementary Document Uploaded 2025-08-07 Repair queued
0704-0004_PIA_Sec1_AF.pdf Supplementary Document Uploaded 2025-08-07 Available
0704-0004_PIA_Sec1_AF.pdf Supplementary Document Uploaded 2025-08-07 Repair queued
0704-0004_PIA_Sec1_Army.pdf Supplementary Document Uploaded 2025-08-07 Available
0704-0004_PIA_Sec1_Army.pdf Supplementary Document Uploaded 2025-08-07 Repair queued
0704-0004_SSNMemo.pdf Supplementary Document Uploaded 2022-12-27 Repair queued
0704-0004_SSNMemo.pdf Supplementary Document Uploaded 2022-12-27 Repair queued
0704-0004_SSA_12.16.2025.docx Supporting Statement A Uploaded 2025-12-16 Available
0704-0004_SSA_12.16.2025.docx Supporting Statement A Uploaded 2025-12-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5237 Application for the Review of Discharge from the Armed Forces of the United States Form ModifiedApplication for the Review of Discharge from the Armed Forces of the US.
5237 Application for the Review of Discharge from the Armed Forces of the United States Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2029 36 Months From Approved 02/28/2026
4,835 0 2,827
2,418 0 1,414
17,527 0 10,262





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Application for the Review of Discharge from the Armed Forces of the United States DD Form 293

table that charts list of burden
  Total Approved 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 4,835 2,827 0 2,008 0 0
Annual Time Burden (Hours) 2,418 1,414 0 1,004 0 0
Annual Cost Burden (Dollars) 17,527 10,262 0 7,265 0 0


Reginfo record details
  No