Department of Defense Consent to Conduct Installation Records Checks (IRC)

Forms and Documents

Document Name	Status
Form DD Form 3058 DoD Consent to Conduct Installation Records Check Form	New
0704-ATAF_SS-A_6.25.2019.docx Supporting Statement A	2019-06-26
0704-ATAF_PIA_6.25.2019_Sec1_Draft.pdf Supplementary Document	2019-06-25
0704-ATAF_SSN Justification_2.14.2019.pdf Supplementary Document	2019-06-25

IC Document Collections

IC ID	Document Title	Status
236654	DoD Consent to Conduct Installation Records Check Form	New

ICR Details

OMB Control No: 0704-0586	ICR Reference No: 201906-0704-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOD/DODDEP	Agency Tracking No: 0704-ATAF
Title: Department of Defense Consent to Conduct Installation Records Checks (IRC)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/20/2019
	Date Received in OIRA: 06/26/2019
Terms of Clearance: This collection is cleared for one year while DOD undergoes a process of determining a DOD-wide childcare form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved
Responses	14,000	0	0
Time Burden (Hours)	2,333	0	0
Cost Burden (Dollars)	16,800	0	0

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Abstract: The information collection requirement is necessary as part of a criminal history background investigation on individual working, volunteering or residing on military installations who come into regular, recurring contact with children under the age of 18 years. The query of records from the installation the Family Advocacy Central Registry and military law enforcement records and the Defense Central Index of Investigations (DCII) will assist the department in obtaining or maintaining an employment suitability or fitness determination for those individuals working with children on military installations. Programs impacted are referenced within the 34 U.S. Code § 20351 (Crime Control Act of 1990) and include impacted individuals such as employees, DoD contractors, providers, adults residing in a family child care home, volunteers, and others with regular recurring contact with children.

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Authorizing Statute(s): US Code: 34 USC 20351 Name of Law: Crime Control Act of 1990
  

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:
	84 FR 8320	03/07/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 30099	06/26/2019
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
DoD Consent to Conduct Installation Records Check	DD Form 3058	Department of Defense Consent to Conduct Installation Records 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	14,000	0	0	0	14,000	0
Annual Time Burden (Hours)	2,333	0	0	0	2,333	0
Annual Cost Burden (Dollars)	16,800	0	0	0	16,800	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: This is a new collection with a new associated burden.

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Annual Cost to Federal Government: $55,580

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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]? No

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: 06/26/2019

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