Application for Discharge of Member or Survivor of Group Certified to Have Performed Active Duty with the Armed Forces of the United States

ICR 202007-0704-005

OMB: 0704-0100

Federal Form Document

ICR Details
0704-0100 202007-0704-005
Active 200801-0704-002
DOD/DODDEP
Application for Discharge of Member or Survivor of Group Certified to Have Performed Active Duty with the Armed Forces of the United States
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 10/02/2020
Retrieve Notice of Action (NOA) 08/31/2020
  Inventory as of this Action Requested Previously Approved
10/31/2023 36 Months From Approved
500 0 0
250 0 0
1,815 0 0

38 USC 106 note(PL 95-202, Sec 401) directs Secretary of Defense to determine if civilian employment or contractual service rendered by groups to the Armed Forces of the United States shall be considered active duty. Using DD Form 2168, information that is compatible with that of a corresponding approved group and the applicant can provide supporting evidence to receive veteran’s status in accordance with the provisions of DoD Directive 1000.20, as established by 38 U.S.C.§ 106. This information collection is necessary to assist each of the Military Departments in determining if an applicant was a member of a group which has been found to have performed active military service and to assist in issuing an appropriate certificate of service.

US Code: 38 USC 106 note Name of Law: null
  
None

Not associated with rulemaking

  80 FR 61389 12/14/2015
85 FR 45204 07/27/2020
No

  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 500 0 0 -2,200 0 2,700
Annual Time Burden (Hours) 250 0 0 -1,100 0 1,350
Annual Cost Burden (Dollars) 1,815 0 0 -86,756 0 88,571
No
Yes
Miscellaneous Actions
Decline in the number of respondent applications.

$3,040
No
    Yes
    Yes
No
No
No
No
Angela James 571 372-7574 angela.n.james4.civ@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.
08/31/2020


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