View Information Collection Request (ICR) Package
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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:
0704-0007
ICR Reference No:
201902-0704-010
Status:
Historical Active
Previous ICR Reference No:
201410-0704-011
Agency/Subagency:
DOD/DODDEP
Agency Tracking No:
Title:
Police Records Check
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
03/25/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/15/2019
Terms of Clearance:
This collection should be reported as part of DOD's Information Collection Budget submission.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2022
36 Months From Approved
Responses
175,000
0
0
Time Burden (Hours)
78,750
0
0
Cost Burden (Dollars)
2,495,500
0
0
Abstract:
10 USC 504, 505, 508, and 12102 established minimum standards for entry into the Armed Forces. This information collection is necessary to gather data on applicants for military enlistment. The DD Form 369, Police Record Check, is used to screen and identify applicants who may have a discreditable involvement with the police or other law enforcement agencies. It is used to identify those applicants who may be undesirable for military service or required a waiver to enlist. It is initiated whenever an applicant indicates any type of criminal involvement or arrest record other than a minor traffic violation.
Authorizing Statute(s):
US Code:
10 USC 12102
US Code:
10 USC 504
US Code:
10 USC 505
US Code:
10 USC 508
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 32286
07/12/2018
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 3421
02/12/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Police Records Check
DD Form 369
Police Record Check
ICR Summary of Burden
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
175,000
0
0
0
0
175,000
Annual Time Burden (Hours)
78,750
0
0
0
0
78,750
Annual Cost Burden (Dollars)
2,495,500
0
0
0
1,118,250
1,377,250
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$266,000
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
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
02/15/2019
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