Police Records Check

Forms and Documents

Document Name	Status
Form DD Form 369 Police Records Check Form	Modified
Support Statement Outline DD FM 369.doc Supporting Statement A	2010-04-01

IC Document Collections

IC ID	Document Title	Status
5243	Police Records Check Form	Modified

ICR Details

OMB Control No: 0704-0007	ICR Reference No: 201003-0704-011
Status: Historical Active	Previous ICR Reference No: 200701-0704-001
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Police Records Check
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/15/2010
	Date Received in OIRA: 03/31/2010
Terms of Clearance: This collection is approved with the understanding DOD will re-submit this collection in one year addressing the passback provided by OMB on April 1, 2010. This would include a re-write of the purpose section, a revised SORN or PIA or both, and a better understanding of the request for racial and ethnic information. This collection can be resubmitted without a 60 day notice.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2011	36 Months From Approved	06/30/2010
Responses	175,000	0	175,000
Time Burden (Hours)	78,750	0	78,750
Cost Burden (Dollars)	1,477,000	0	1,477,000

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Abstract: 10 USC 504, 505, 508, and 12102 established minimum standards for entry into the Armed Forces. This information collection is necessary to gather data on applicants for military enlistment. The DD Form 369, Police Record Check, is used to screen and identify applicants who may have a discreditable involvement with the police or other law enforcement agencies. It is used to identify those applicants who may be undesirable for military service or required a waiver to enlist. It is initiated whenever an applicant indicates any type of criminal involvement or arrest record other than a minor traffic violation.

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Authorizing Statute(s): US Code: 10 USC 505 Name of Law: null
   US Code: 10 USC 508 Name of Law: null
   US Code: 10 USC 12102 Name of Law: null
   US Code: 10 USC 504 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 57153	11/04/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 57153	11/04/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Police Records Check	DD Form 369	Police Record Check

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ICR Summary of Burden

	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	175,000	175,000	0	0	0	0
Annual Time Burden (Hours)	78,750	78,750	0	0	0	0
Annual Cost Burden (Dollars)	1,477,000	1,477,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $416,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/31/2010

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