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DoD CAF Form 3: Request for Records
DoD Consolidated Adjudications Facility Request for Records
OMB: 0704-0561
IC ID: 224416
OMB.report
DOD/DODDEP
OMB 0704-0561
ICR 201912-0704-002
IC 224416
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0561 can be found here:
2023-01-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DoD CAF Form 3
DoD CAF Form 3: Request for Records
Form and Instruction
DoD CAF Form 3 Request for Records
TAB 3 - DoD CAF Request for Records 2019.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DoD CAF Form 3: Request for Records
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
32 CFR 311
32 CFR 310
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
DoD CAF Form 3
Request for Records
TAB 3 - DoD CAF Request for Records 2019.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:
DWHS E04: Privacy Act Case Files
FR Citation:
80 FR 19293
Number of Respondents:
120
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
75 %
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
120
0
0
0
0
120
Annual IC Time Burden (Hours)
10
0
0
0
0
10
Annual IC Cost Burden (Dollars)
232
0
0
0
0
232
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.