Application for Surrogate Association for DoD Self-Service (DS) Logon

ICR 201610-0704-002

OMB: 0704-0559

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0704-0559 201610-0704-002
Historical Inactive
DOD/DODDEP 0704-AAJA
Application for Surrogate Association for DoD Self-Service (DS) Logon
New collection (Request for a new OMB Control Number)   No
Regular
Comment filed on proposed rule 10/27/2016
Retrieve Notice of Action (NOA) 10/07/2016
This collection should be resubmitted when the final rule is provided to OMB for review.
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0

This form is submitted to DoD to establish a Defense Enrollment Eligibility Reporting System (DEERS) record and surrogate association for issuance of a DoD Self-Service (DS) Logon. A surrogate may be established: (1) As the custodian of an unmarried minor child(ren) of a deceased Service member who is under age 18, who is at least 18 but under 23 and attending school full-time, or who is incapacitated. (2) As the agent of an incapacitated dependent (e.g., spouse, parent). (3) As the agent of a wounded, ill, or incapacitated Service member.

US Code: 10 USC 1044a Name of Law: null
  
None

0790-AJ36 Proposed rulemaking

No

1
IC Title Form No. Form Name
Application for Surrogate Association for DoD Self-Service (DS) Logon Form DD X683

Yes
Miscellaneous Actions
No
There are no changes in burden as this is a new collection.

$4,109
No
No
No
No
No
Uncollected
Mayra Dalence 571 372-0417 mayra.dalence.ctr@mail.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.
10/07/2016


© 2024 OMB.report | Privacy Policy