Information Collection Request

Application for Identification Card/DEERS Enrollment

ICR 202604-0704-001 · OMB 0704-0415 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form DD Form 1172-2 Application for Identification Cards/DEERS Enrollment Form Modified Available
Application screenshots for SSA.pptx Supplementary Document Uploaded 2026-05-28 Available
0704-0415_SSA_5.28.2026.docx Supporting Statement A Uploaded 2026-05-28 Available
SSN Justification Memorandum_2020_signed.PDF Supplementary Document Uploaded 2023-03-07 Available
IC Document Collections
IC IDCollectionTypeStatusForm
5503 Application for Department of Defense Common Access Card - DEERS Enrollment Form ModifiedApplication for Identification Cards/DEERS Enrollment
ICR Details
0704-0415 202604-0704-001
Received in OIRA 202508-0704-001
DOW/DODDEP
Application for Identification Card/DEERS Enrollment
Revision of a currently approved collection   No
Regular 05/29/2026
  Requested Previously Approved
36 Months From Approved 06/30/2026
2,153,182 2,288,877
107,659 114,444
3,270,683 3,204,428

This information collection requirement is necessary to validate eligibility for all individuals applying for DoD benefits and privileges. These benefits and privileges include but are not limited to, medical coverage, DoD identification cards, access to DoD installations, buildings or facilities, and access to DoD computer systems and networks. This information collection is required to obtain the necessary data elements to determine eligible individual's benefits and privileges, to provide a proper identification card reflecting those benefits and privileges, and to maintain a centralized database of the eligible population.

PL: Pub.L. 106 - 65 373
  
None

Not associated with rulemaking

  91 FR 8211 02/20/2026
91 FR 31433 05/27/2026
No

1
IC Title Form No. Form Name
Application for Department of Defense Common Access Card - DEERS Enrollment DD Form 1172-2 Application for Identification Cards/DEERS Enrollment

  Total Request 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 2,153,182 2,288,877 0 -135,695 0 0
Annual Time Burden (Hours) 107,659 114,444 0 -6,785 0 0
Annual Cost Burden (Dollars) 3,270,683 3,204,428 0 66,255 0 0
No
Yes
Miscellaneous Actions
The burden has decreased due to a reduction of annual respondents.

$1,628,947
No
    Yes
    Yes
No
No
No
No
LaTarsha Yeargins 571 372-2089 [email protected]

  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.
05/29/2026