Application for Discharge of Member or Survivor of Group Certified to Have Performed Active Duty with the Armed Forces of the United States

OMB 0704-0100

OMB 0704-0100

38 USC 106 note(PL 95-202, Sec 401) directs Secretary of Defense to determine if civilian employment or contractual service rendered by groups to the Armed Forces of the United States shall be considered active duty. Using DD Form 2168, information that is compatible with that of a corresponding approved group and the applicant can provide supporting evidence to receive veteran’s status in accordance with the provisions of DoD Directive 1000.20, as established by 38 U.S.C.§ 106. This information collection is necessary to assist each of the Military Departments in determining if an applicant was a member of a group which has been found to have performed active military service and to assist in issuing an appropriate certificate of service.

The latest form for Application for Discharge of Member or Survivor of Group Certified to Have Performed Active Duty with the Armed Forces of the United States expires 2023-10-31 and can be found here.


© 2024 OMB.report | Privacy Policy