Request for Verification of Birth

ICR 201208-0704-002

OMB: 0704-0006

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2012-08-31
Supplementary Document
2012-08-31
Supplementary Document
2012-08-31
Supplementary Document
2012-08-31
Supplementary Document
2012-08-31
Supplementary Document
2012-08-31
Supporting Statement A
2012-11-19
IC Document Collections
IC ID
Document
Title
Status
5240 Modified
ICR Details
0704-0006 201208-0704-002
Historical Active 201107-0704-003
DOD/DODDEP
Request for Verification of Birth
Extension without change of a currently approved collection   No
Regular
Approved with change 11/19/2012
Retrieve Notice of Action (NOA) 08/31/2012
This collection is approved based on the revised materials provided by the Department.
  Inventory as of this Action Requested Previously Approved
11/30/2015 36 Months From Approved 11/30/2012
140,000 0 140,000
11,480 0 11,480
201,600 0 201,600

Title 10, USC, Sections 504, 505, 532, and 5013 require that applicants must meet minimum and maximum age requirements and citizenship requirements for enlistment in the Armed Forces. If an applicant is unable to produce a birth certificate, this information is collected using the DD Form 372, "Request for Verification of Birth." This form is sent to state or local agencies and is considered the official DOD request for birth verification.

US Code: 10 USC 504 Name of Law: null
   US Code: 10 USC 505 Name of Law: null
   US Code: 10 USC 532 Name of Law: null
   US Code: 10 USC 5013 Name of Law: null
  
None

Not associated with rulemaking

  75 FR 81237 12/27/2010
75 FR 81237 12/27/2010
No

1
IC Title Form No. Form Name
Request for Verification of Birth DD Form 372 Request for Verification of Birth

  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 140,000 140,000 0 0 0 0
Annual Time Burden (Hours) 11,480 11,480 0 0 0 0
Annual Cost Burden (Dollars) 201,600 201,600 0 0 0 0
No
No

$1,001,300
No
No
No
No
No
Uncollected
Patricia Toppings 703 696-5284 PLToppings@whs.mil

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/31/2012


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