Information Collection

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

IC 223842 under ICR 201807-0704-005 · OMB 0704-0559.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0559 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form X683 Application for Surrogate Association for DoD Self-Service (DS) Logon Form Form
DD Form X683 Application for Surrogate Association for DoD Self-Servi ddX683 draft.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Surrogate Association for DoD Self-Service (DS) Logon Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 32 CFR 221

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD Form X683	Application for Surrogate Association for DoD Self-Service (DS) Logon	ddX683 draft.pdf		Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: Defense Enrollment Eligibility Reporting Systems (DEERS)	FR Citation: 81 FR 49210

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	9,870	9,870

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.