Pre-embarkation Certificate of Disinsection

Forms and Documents

Document Name	Status
Form DD 3044 Pre-embarkation Certificate of Disinsection Form and Instruction	Modified
0704-0568_SSA_1.6.2021.docx Supporting Statement A	2021-01-06

IC Document Collections

IC ID	Document Title	Status
228841	Pre-embarkation Certificate of Disinsection Form and Instruction	Modified

ICR Details

OMB Control No: 0704-0568	ICR Reference No: 202012-0704-005
Status: Received in OIRA	Previous ICR Reference No: 201710-0704-006
Agency/Subagency: DOD/DODDEP	Agency Tracking No: 0704-AALH
Title: Pre-embarkation Certificate of Disinsection
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/06/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2021
Responses	1,000	1,000
Time Burden (Hours)	167	167
Cost Burden (Dollars)	2,130	2,000

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Abstract: Aircraft disinsection is currently required in 14 countries for arriving military aircraft. Most of those countries require documentation proving that disinsection occurred. The Armed Forces Pest Management Board published Technical Guide 4 (TG4) to standardize requirements for disinsection of DoD aircraft to meet foreign country requirements. TG4 requires completion of DD Form 3044 to certify disinsection. Respondents are DoD-contracted Pest Managers.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 68859	10/30/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 530	01/06/2021
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Pre-embarkation Certificate of Disinsection	DD 3044	Pre-embarkation Certificate of Disinsection

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ICR Summary of Burden

	Total Request	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	1,000	1,000	0	0	0	0
Annual Time Burden (Hours)	167	167	0	0	0	0
Annual Cost Burden (Dollars)	2,130	2,000	0	130	0	0

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:

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Annual Cost to Federal Government: $5

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.     No

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.     No

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? No

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Common Form ICR:  No

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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: 01/06/2021

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