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"Department of Defense Security Agreement", "Appendage to Department of Defense Security Agreement", "Certificate Pertaining to Foreign Interests"
"Department of Defense Security Agreement", "Appendage to Department of Defense Security Agreement", "Certificate Pertaining to Foreign Interests"
OMB: 0704-0194
IC ID: 5289
OMB.report
DOD/DODDEP
OMB 0704-0194
ICR 201607-0704-003
IC 5289
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0194 can be found here:
2022-10-28 - Extension without change of a currently approved collection
2019-09-25 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DD Form 441
"Department of Defense Security Agreement", "Appendage to Department of Defense Security Agreement", "Certificate Pertaining to Foreign Interests"
Form
DD Form 441 Department of Defense Security Agreement
TAB_C_DD_Form_441_(new).PDF
Form
DD Form 441-1 Appendage to Department of Defense Security Agreement
TAB_D_DD_Form_441-1_(new).PDF
Form
SF 328 Certificate Pertaining to Foreign Interests
TAB_E_SF_328_(new)Rev3.PDF
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
"Department of Defense Security Agreement", "Appendage to Department of Defense Security Agreement", "Certificate Pertaining to Foreign Interests"
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
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 441
Department of Defense Security Agreement
TAB_C_DD_Form_441_(new).PDF
Yes
Yes
Fillable Printable
Form
DD Form 441-1
Appendage to Department of Defense Security Agreement
TAB_D_DD_Form_441-1_(new).PDF
Yes
Yes
Fillable Printable
Form
SF 328
Certificate Pertaining to Foreign Interests
TAB_E_SF_328_(new)Rev3.PDF
Yes
Yes
Fillable Printable
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:
6,851
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
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
6,851
0
1,569
0
5,282
0
Annual IC Time Burden (Hours)
4,171
0
-3,663
0
7,834
0
Annual IC Cost Burden (Dollars)
182,702
0
-904,821
0
1,087,523
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.