Information Collection

Request for Verification of Birth

IC 5240 under ICR 202607-0704-006 · OMB 0704-0006.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD 372 Request for Verification of Birth Request for Verification of Birth	Form and Instruction
DD 372 Request for Verification of Birth dd372 Unlocked - OMB review.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 372				Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150,000	0	150,000
Annual IC Time Burden (Hours)	12,500	0	12,500
Annual IC Cost Burden (Dollars)	90,625	625	90,000

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.

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