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Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Department of Defense Common Access Card--DEERS Enrollment

ICR 200009-0704-003 · OMB 0704-0415 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
5501 Application for Department of Defense Common Access Card--DEERS Enrollment Form Migrated
ICR Details
0704-0415 200009-0704-003
Historical Active
DOD/DODDEP
Application for Department of Defense Common Access Card--DEERS Enrollment
New collection (Request for a new OMB Control Number)   No
Emergency 10/10/2000
Approved without change 10/06/2000
Retrieve Notice of Action (NOA) 09/29/2000
  Inventory as of this Action Requested Previously Approved
04/30/2001 04/30/2001
300,000 0 0
100,000 0 0
0 0 0
The DOD will provide active duty military personnel (to include the Selected Reserve), DOD civilian employees, and eligible contractor employees with a distinct Common Access Card used as the standard identification card to enable physical access to buildings and controlled spaces, and gain access to the Dept's computer networks and systems. This information collection supplies the necessary information to verify applicants' status and eligibility. The DD Form 1172-2 collects information and is the application used for issuance of the DOD Common Access Card.
None
None
No
1
IC Title Form No. Form Name
Application for Department of Defense Common Access Card--DEERS Enrollment DD1172-2
  Total Approved 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 300,000 0 0 300,000 0 0
Annual Time Burden (Hours) 100,000 0 0 100,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/29/2000