View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Application for Department of Defense Common Access Card - DEERS Enrollment
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DD Form 1172-2
Application for Department of Defense Common Access Card - DEERS Enrollment
0704-0415 Draft dd1172-2.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
DMDC 02 - Defense Eligibility Records
FR Citation:
72 FR 55757
Number of Respondents:
300,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
95 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
300,000
0
0
0
0
300,000
Annual IC Time Burden (Hours)
50,000
0
0
-50,000
0
100,000
Annual IC Cost Burden (Dollars)
2,304,000
0
0
2,304,000
0
0
Documents for IC
Title
Document
Date Uploaded
Smart Card Adoption and Implementation
0704-0415 DEPSEC memo 11-10-99.pdf
10/24/2007
Department of Defense Public Key Infrastructure
0714-0415 ASD-C3I Memo 8-12-00.pdf
10/24/2007
Common Access Card - Changes
0704-0415 USD PR - DOD CIO Memo 4-18-02.pdf
10/24/2007
Homeland Security Presidential Directive/HSPD-12
0704-0415 HSPD-12.pdf
10/24/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.