POLICE RECORD CHECK

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
108363	POLICE RECORD CHECK Form	Migrated

ICR Details

OMB Control No: 0704-0007	ICR Reference No: 198108-0704-003
Status: Historical Active	Previous ICR Reference No: 198106-0704-001
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: POLICE RECORD 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 without change	Conclusion Date: 11/23/1981
	Date Received in OIRA: 08/28/1981
Terms of Clearance: This form is approved for three months on the following conditions: 1. DOD shall justify why this information (since it is not required in many instances) is essential for enlistment. Why cannot the information be collected during the security check on enlistees? Why is enlistment permitted before the checks are completed? How many applicants are denied enlistment solely on the basis of information gathered through the use of the DD 369? 2. The form will be revised to: - delete the question on marital status - delete the inclusion of fingerprints - add a release statement for the applicant to sign which notified the recipient of the form that release is authorized. 3. OSD shall develop and promulgate uniform instructions on the use of this form. The military departments shall not deviate from these instructions without OMB approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/1982	02/28/1982
Responses	1,776,000	0	0
Time Burden (Hours)	59,200	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: PER SECTIONS 504 AND 505 OF TITLE 10, U.S. CODE, APPLICANTS FOR ENLIST MENT MUST BE SCREENED TO IDENTIFY ANY DISCREDITABLE INVOLVEMENT WITH POLICE OR OTHER LEGAL OFFICIALS. FORM IS SENT TO FBI AS PART OF ENTRANCE NATIONAL AGENCY CHECK. RESULTS ARE USED TO DETERMINE GENERAL ENLISTMENT ELIGIBILITY AND JOB SKILL PLACEMENT.

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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:

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Federal Register Notices & Comments

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
POLICE RECORD CHECK	DD 369

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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	1,776,000	0	0	0	1,776,000	0
Annual Time Burden (Hours)	59,200	0	0	0	59,200	0
Annual Cost Burden (Dollars)	0	0	0	0	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: $0

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 08/28/1981

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