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SUPPORTING STATEMENT_FINAL 3095-0038_2026

ICR 202609-3095-005 · OMB 3095-0038 · Object 172435500.

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SUPPORTING STATEMENT
Court Order Requirements, NA Form 13027 (03-17)
OMB Control No. 3095-0038

1. Circumstances Making the Collection of Information Necessary. In accordance with
rules issued by the Office of Personnel Management (OPM), the National Personnel Records
Center (NPRC) of the National Archives and Records Administration (NARA) administers
Official Personnel Folders (OPF) and Employee Medical Folders (EMF) of former Federal
civilian employees. In accordance with rules issued by the Department of Defense (DOD)
and Department of Homeland Security (DHS, U.S. Coast Guard) the NPRC also administers
military service records of veterans after discharge, retirement, and death, and the medical
records of these veterans, and dependents of Armed Forces personnel. Personnel records of
military members who were discharged, retired, or died in service 62 or more years ago have
been transferred to the legal custody of NARA and are referred to as “archival” records. The
NA Form 13027, Court Order Requirements, is used to advise requesters of (1) the correct
procedures to follow when requesting certified copies of records for use in civil litigation or
criminal actions in courts of law and (2) the information to be provided so that records may
be identified. The authority for this information collection is prescribed by 36 CFR 1233.14.
2. Purpose and Use of the Information. Although the civilian and military personnel and
medical records (non-archival) described above are in NPRC’s physical custody, legal custody
of the records remains with the Office of Personnel Management, the Department of Defense,
the Department of Homeland Security, or the creating agency. Handling of requests for
information from the records must conform to the legal requirements of the Freedom of
Information Act (FOIA), the Privacy Act, and the regulations of OPM, DOD, and DHS.
Authority for the requirements set forth in the form is also contained in 5 U.S.C. 552a(b)(11),
as interpreted by Doe vs. DiGenova, 779 F.2d 74 (D.C. Cir. 1985), and Stiles vs. Atlanta Gas
and Light Company, 453 F. Supp. 798 (N.D. Ga 1978). NPRC uses information submitted
in response to the requirements contained in NA Form 13027 to identify the records needed
and to determine whether the records can be released.
3. Use of Information Technology and Burden Reduction. With the use of information
technology NPRC has made the form available online at
http://www.archives.gov/st-louis/military-personnel/court-order.html. At this time, however,
no information technology application is available to accept the collected information online.
The collected information is the minimum information needed to allow NPRC to locate the
record and provide the requested information.

4. Efforts to Identify Duplication and Use of Similar Information. There is no
duplication of this information.
5. Impact on Small Businesses or Other Small Entities. The collection of information
does not have a significant impact on small businesses.
6. Consequences of Collecting the Information Less Frequently. The frequency of
response is on occasion.
7. Special Circumstances Relating to the Guidelines of 5 CFR 1320.5. The information
collection is conducted in a manner consistent with the guidelines in 5 CFR 1320.5.
8. Comments in Response to the Federal Register Notice and Efforts to Consult Outside
Agency. No formal consultations have taken place. NARA published a notice in the Federal
Register on June 12, 2026 (91 FR 35709) requesting public comment. No comment(s)
was/were received. A second notice will be published in the Federal Register when this
information collection is submitted to OMB for clearance.
9. Explanation of Any Payment or Gift to Respondents. This information collection
involves no remuneration to respondents.
10. Assurance of Confidentiality Provided to Respondents. There is no assurance of
confidentiality provided to respondents.
11. Justification for Sensitive Questions. Respondents are asked no questions of a
sensitive nature.
12. Estimates of Hour Burden Including Annualized Hourly Costs. The hour burden
for all individual respondents is as follows:
Form of
Request from
Respondents

Number
of
Respond
ents

Responses
per
Responde
nt

Minutes
per
Respons
e

Annual
Hour
Burden

NA Form
13027

5,000

1

15

1,250

NPRC developed the respondent data by observing the percentage of NA Forms 13027 sent
by NPRC to requesters for response.

13. Estimate of Other Total Annual Cost Burden to Respondents or Recordkeepers.
The estimated annualized cost for each individual respondent is $2.56. The total estimated
annualized respondent cost is $11,563. The cost of a respondent’s time is established at the
Federal minimum wage rate of $7.25 per hour. The remainder of each respondent cost
consists of costs for envelopes ($.01) and postage ($.82).
Form of
Request
from
Respondents

Number
of
Respond
ents

Minute
s per
Respon
se

Respon
dent
Cost

Annualized
Cost for
Hour
Burden

NA Form
13027

5,000

15

$2.56

$12,836

14. Annualized Cost to the Federal Government. The total estimated annualized cost to
NARA is $125. This cost consists of the estimated annualized costs printing (desktop) NA
Form 13027. However, no cost is assigned to the staff time required to perform core
functions at NPRC, including: responding to letter and forms requests that contain sufficient
information; and reviewing and preparing the responses for mailing.
15. Explanation for Program Changes or Adjustments. There is no change.
16. Plans for Tabulation and Publication and Project Time Schedule. The information
collection is not used for statistical studies or publications.
17. Reason(s) Display of OMB Expiration Date is Inappropriate. The expiration date of
the OMB approval will be displayed on the form.
18. Exceptions to Certification for Paperwork Reduction Act Submissions. NARA is
not requesting any exceptions to the certification statement identified in Item 19,
“Certification for Paperwork Reduction Submissions,” of the OMB Form 83-I.