View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0704-0576	ICR Reference No: 201805-0704-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOW/DODDEP	Agency Tracking No: 0704-AATT
Title: DoD New Hire Forms
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/11/2018
	Date Received in OIRA: 06/01/2018
Terms of Clearance: This collection is approved based on the revised materials provide by the Department. DOD should report this collection as part of the Information Collection Budget.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved
Responses	82,000	0	0
Time Burden (Hours)	6,833	0	0
Cost Burden (Dollars)	49,200	0	0

Authorizing Statute(s): US Code: 42 USC 13041 Name of Law: Requirement for Background Checks
   US Code: 5 USC 3301 Name of Law: Government Organization and Employees
   US Code: 32 USC 101 Name of Law: National Guard
   EO: EO 9397 Name/Subject of EO: Use of Social Security Numbers
   US Code: 10 USC 3013 Name of Law: Armed Forces; Secretary of the Army
   EO: EO 11190 Name/Subject of EO: Ready Reserve of the Armed Forces

Citations for New Statutory Requirements: None

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
DoD New Hire Forms	DD X735, DD X739, DD X741	, ,

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	82,000	82,000
Annual Time Burden (Hours)	6,833	6,833
Annual Cost Burden (Dollars)	49,200	49,200

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is an existing collection currently in use without an OMB Control Number using separate Component-internal forms. The current collection will standardize the instruments for onboarding across DoD, at which the Component-internal forms will be discontinued.

Annual Cost to Federal Government: $861,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Ben McAlduff 480 316-1398 benjamin.d.mcalduff.ctr@mail.mil

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