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Personnel Accountability & Assessment Notification for COVID-19
Personnel Accountability & Assessment Notification for COVID-19
OMB: 0704-0590
IC ID: 241131
OMB.report
DOD/DODDEP
OMB 0704-0590
ICR 202004-0704-001
IC 241131
( )
Documents and Forms
Document Name
Document Type
Form DD Form 3112
Personnel Accountability & Assessment Notification for COVID-19
Form
DD Form 3112 Personnel Accountability & Assessment Notification for C
DD3112 20200402 locked.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Personnel Accountability & Assessment Notification for COVID-19
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
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 3112
Personnel Accountability & Assessment Notification for COVID-19
DD3112 20200402 locked.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
100,000
0
100,000
0
0
0
Annual IC Time Burden (Hours)
8,333
0
8,333
0
0
0
Annual IC Cost Burden (Dollars)
60,000
0
60,000
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
