Information Collection

Department of Defense Security Agreement

IC 5289 under ICR 201909-0704-003 · OMB 0704-0194.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0194 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 441 Department of Defense Security Agreement Form
DD Form 441 DEPARTMENT OF DEFENSE SECURITY AGREEMENT DD441 draft 20190515.PDF Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Department of Defense Security Agreement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD Form 441	DEPARTMENT OF DEFENSE SECURITY AGREEMENT	DD441 draft 20190515.PDF		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,992	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,992	-3,859	6,851
Annual IC Time Burden (Hours)	698	-3,473	4,171
Annual IC Cost Burden (Dollars)	30,578	-152,124	182,702

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.