USMC Family Care Programs Forms

Forms and Documents

Document Name	Status
Form NAVMC 1750/17 USMC Family Care Programs Peer Leader Application Form	New
Form NAVMC 1750/16 USMC Family Care Programs Youth Connection Request Form	New
0712-FMLY_SSA_1.28.2026.docx Supporting Statement A	2026-01-29

IC Document Collections

IC ID	Document Title	Status
278823	USMC Family Care Programs Peer Leader Application Form	New
278821	USMC Family Care Programs Youth Connection Request Form	New

ICR Details

OMB Control No:	ICR Reference No: 202601-0712-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOD/USMC	Agency Tracking No: 0712-FMLY
Title: USMC Family Care Programs Forms
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/30/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	5,000	0
Time Burden (Hours)	2,500	0
Cost Burden (Dollars)	98,875	0

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Abstract: The U.S. Marine Corps uses this information collection to facilitate school transitions for military children and to process applications for a youth leadership program. This collection is essential for providing continuity of care for military families and directly supports overall force readiness.

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Authorizing Statute(s): US Code: 10 USC Chapter 88, SUBCHAPTER I Name of Law: Military Family Programs
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 37475	08/05/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 3713	01/28/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
USMC Family Care Programs Peer Leader Application	NAVMC 1750/17	USMC Family Care Programs Peer Leader Application
USMC Family Care Programs Youth Connection Request	NAVMC 1750/16	USMC Family Care Programs Youth Connection Request

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ICR Summary 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	5,000	0	0	5,000	0	0
Annual Time Burden (Hours)	2,500	0	0	2,500	0	0
Annual Cost Burden (Dollars)	98,875	0	0	98,875	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new collection with a new associated burden.

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Annual Cost to Federal Government: $61,853

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

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Common Form ICR:  No

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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: 01/30/2026

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