Application for Identification Card/DEERS Enrollment

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD Form 1172-2 Application for Identification Cards/DEERS Enrollment	Form	Modified	Available
Application screenshots for SSA.pptx	Supplementary Document	Uploaded 2026-05-28	Available
0704-0415_SSA_5.28.2026.docx	Supporting Statement A	Uploaded 2026-05-28	Available
SSN Justification Memorandum_2020_signed.PDF	Supplementary Document	Uploaded 2023-03-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5503	Application for Department of Defense Common Access Card - DEERS Enrollment	Form	Modified	Application for Identification Cards/DEERS Enrollment

ICR Details

OMB Control No: 0704-0415	ICR Reference No: 202604-0704-001
Status: Received in OIRA	Previous ICR Reference No: 202508-0704-001
Agency/Subagency: DOW/DODDEP	Agency Tracking No:
Title: Application for Identification Card/DEERS Enrollment
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/29/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2026
Responses	2,153,182	2,288,877
Time Burden (Hours)	107,659	114,444
Cost Burden (Dollars)	3,270,683	3,204,428

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Abstract: This information collection requirement is necessary to validate eligibility for all individuals applying for DoD benefits and privileges. These benefits and privileges include but are not limited to, medical coverage, DoD identification cards, access to DoD installations, buildings or facilities, and access to DoD computer systems and networks. This information collection is required to obtain the necessary data elements to determine eligible individual's benefits and privileges, to provide a proper identification card reflecting those benefits and privileges, and to maintain a centralized database of the eligible population.

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Authorizing Statute(s): PL: Pub.L. 106 - 65 373
  

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:
	91 FR 8211	02/20/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 31433	05/27/2026
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Application for Department of Defense Common Access Card - DEERS Enrollment	DD Form 1172-2	Application for Identification Cards/DEERS Enrollment

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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	2,153,182	2,288,877	0	-135,695	0	0
Annual Time Burden (Hours)	107,659	114,444	0	-6,785	0	0
Annual Cost Burden (Dollars)	3,270,683	3,204,428	0	66,255	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden has decreased due to a reduction of annual respondents.

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Annual Cost to Federal Government: $1,628,947

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: 05/29/2026

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