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Exchange Form 1700-012
Exchange Employee Management and Pay System
OMB: 0702-0139
IC ID: 222966
OMB.report
DOD/DOA
OMB 0702-0139
ICR 201909-0702-001
IC 222966
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0702-0139 can be found here:
2022-10-25 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Exchange Form 1700
Exchange Form 1700-012
Form and Instruction
Exchange Form 1700 Beneficiary Designation
EXCHANGE FORM 1700-012-BENEFICIARY DESIGNATION (DRAFT).pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Exchange Form 1700-012
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Exchange Form 1700-012
Beneficiary Designation
EXCHANGE FORM 1700-012-BENEFICIARY DESIGNATION (DRAFT).pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
AAFES 0903.06: Personnel Management Information System
FR Citation:
78 FR 38017
Number of Respondents:
250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
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
250
0
-750
0
0
1,000
Annual IC Time Burden (Hours)
83
0
-250
0
0
333
Annual IC Cost Burden (Dollars)
2,250
0
-6,083
0
0
8,333
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.