OMB control number
Application for Survivor Access Card
OMB 0702-0152 · DOD/DOA.
In accordance with AR 190-13, the Army Physical Security Program permits eligible Surviving Family members of deceased personnel to have unescorted access to Army installations via the Survivor Access Card in order for them to receive services, attend events, view memorials, and similar activities. Eligible survivors are those who meet the eligibility criteria to receive the Gold Star Lapel Button or Next of Kin Lapel Button. Eligible Survivors must first contact the installation level Survivor Outreach Services (SOS) support coordinator to verify eligibility and coordinate issuance of an installation access credential. The Application for Survivor Access Card (IMCOM Form 44) is obtained by eligible Surviving Family members from SOS staff members. Eligible family members complete the form to obtain the Survivor Access Card which grants Survivors ease of access to military installations.
The latest form for Application for Survivor Access Card expires 2028-05-31 and can be found here.
Document Name |
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Form and Instruction |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
| Extension without change of a currently approved collection | 2025-01-21 | ||
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Approved without change |
New collection (Request for a new OMB Control Number) | 2021-12-28 |