Application for Surrogate Association for DoD Self-Service (DS) Logon Form

Application for Surrogate Association for DoD Self-Service (DS) Logon

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0559 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

IC Title:	Application for Surrogate Association for DoD Self-Service (DS) Logon Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 32 CFR 221

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: Defense Enrollment Eligibility Reporting Systems (DEERS)	FR Citation: 81 FR 49210

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	9,870	9,870

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.