1
DoD 8910.1-M, June 1998

2 FOREWORD
TABLE OF CONTENTS

Page

Foreword 2

 

Table of Contents 3

 

Figures 8

 

References 9

 

Abbreviations and/or Acronyms 11

 

CHAPTER 1 - C1. GENERAL INFORMATION

 

 C1.1. Introduction 11

 C1.2. Reissuance and Purpose 11

 C1.3. Scope 11

 C1.4. Policy 12

 C1.5. Objectives 13

 C1.6. Responsibilities 14

 

CHAPTER 2 - C2. DoD REPORTS MANAGEMENT PROGRAM

 

 C2.1. Purpose 17

 C2.2. Public Information Requirements - Chapter 3 17

 C2.3. DoD Internal Information Requirements - Chapter 4 18

 C2.4. Interagency Information Requirements - Chapter 5 18

 C2.5. Congressional Information Requirements - Chapter 6 19

 C2.6. Surveys of DoD Personnel 20

 C2.7. Definitions - General 21

 C2.8. Published Listings 24

 C2.9. Responsibilities 24

 C2.9.1. DoD Components 24

 C2.9.2.. OSD Components 25

 C2.9.3. Information Management Control Officer 26

 C2.9.4. Office of the Assistant Secretary of Defense (Command, Control, Communications, 

and Intelligence)

27

 C2.9.5. Washington Headquarters Services, Directorate for Information Operations and 

Reports

27

 

CHAPTER 3 - C3. DoD PUBLIC INFORMATION REQUIREMENTS

 

 C3.1. Purpose 29

 C3.2. Scope 29

 C3.3. Definitions 29

 C3.4. Applicability 31

 C3.5. Responsibilities 31

DoD 8910.1-M, June 1998

3 TABLE OF CONTENTS
TABLE OF CONTENTS, Continued

 C3.5.1. Office of Management and Budget 31

 C3.5.2. Federal Agencies 31

 C3.5.3. Public 32

 C3.6. OMB Guidelines 0

 C3.7. Coverage 34

 C3.7.1. General 34

 C3.7.2. Members of the Public 35

 C3.7.3. Federal Employees 35

 C3.7.4. Military 35

 C3.7.5. Contractors 36

 C3.7.6. Foreign Nationals 36

 C3.7.7. Public Protection 36

 C3.8. Exempt Collections 37

 C3.9. Information Collection Budget (ICB) 40

 C3.9.1. Submission of Annual ICB 40

 C3.9.2. ICB Historical Perspective 40

 C3.9.3. Statutorily Directed Reductions 40

 C3.10. Procedures to License DoD Public Information Requirements 41

 C3.10.1. Overview 41

 C3.10.2. Preparation of the OMB 83-I Package 42

 C3.10.2.1. Front Page of the OMB Form 83-I 42

 C3.10.2.2. Back Page of OMB Form 83-I 46

 C3.10.2.3. Estimation of Burden Hours 47

 C3.10.2.4. Prepare Supporting Statement 48

 C3.10.2.5. Federal Register Notices 49

 C3.10.3. OMB 83-I Package Process 49

 C3.10.3.1. Clear Through Component IMCO 49

 C3.10.3.2. Submission to WHS/DIOR for Review 51

 C3.10.3.3. Submission to OMB 51

 C3.10.3.4. OMB Approval/Disapproval 53

 C3.10.3.5. Approval Notification 53

 C3.10.3.6. Appeal Provisions 53

 C3.11. Procedures to Revise of Extend DoD Public Information Requirements 54

 C3.12. Procedures to Cancel DoD Public Information Requirements 54

 C3.13. Request for Emergency Clearance 54

 C3.13.1. OMB Criteria 54

 C3.13.2. Limited Approval 55

 C3.13.3. OMB 83-I Package 55

 C3.13.4. Advance Planning 55

 C3.14. Generic Clearances 55

DoD 8910.1-M, June 1998

4 TABLE OF CONTENTS
TABLE OF CONTENTS, Continued

 C3.15. Inventory of DoD Public Information Requirements 56

 C3.15.1. Overview 56

 C3.15.2. Relationship to ICB 56

 C3.15.3. Making Changes to the Inventory 57

 C3.15.4. Output Reports 57

 

CHAPTER 4 - C4. DoD INTERNAL INFORMATION REQUIREMENTS

 

 C4.1. Purpose 85

 C4.2. Scope 85

 C4.3. Definitions 85

 C4.4. Exemptions 87

 C4.5. DoD Component Procedures 88

 C4.5.1. Licensing Internal Information Requirements 88

 C4.5.2. Indexes of Internal Information Requirements 89

 C4.6. OSD Procedures For Licensing DoD Internal Information Requirements 90

 C4.6.1. General 90

 C4.6.2. Coverage 91

 C4.6.2.1. Special Requirements 91

 C4.6.2.2. Prepare OF 101, "Summary Worksheet for Estimating Reporting Costs" 91

 C4.6.2.3. Prepare SD Form 455, "Request for Approval of Information Collection" 92

 C4.6.2.4. Coordination 95

 C4.6.2.4.1. Clear Through DoD Component Information Management Control Officer 95

 C4.6.2.4.2. Respondents 96

 C4.6.2.5. Submission to WHS/DIOR 96

 C4.6.2.6. Approval/Disapproval 98

 C4.6.2.7. Appeal Provisions 98

 C4.7. OSD Procedures to Revise DoD Internal Information Requirements 98

 C4.7.1. Substantial Changes 98

 C4.7.2. Minor Changes 98

 C4.8. OSD Procedures to Cancel an Existing DoD Internal Information Requirement 99

 C4.9. OSD Information Requirement Reviews 99

 C4.9.1. User Responsibilities 99

 C4.9.2. Scheduled Review Cycles 99

 C4.9.2.1. Expiration Dates 99

 C4.9.2.2. Annual Reviews 100

 C4.9.2.3. Reviews of One-Time Reports 100

 C4.9.2.4. Reviews of Surveys 100

 C4.9.2.5. Reviews of DoD Issuances 100

 C4.10. DoD Internal Information Requirement Inventory 101

 C4.10.1. Overview 101

 C4.10.2. Making Changes to the Inventory 101

 C4.10.3. Output Reports 101

 C4.11. Surveys of DoD Personnel 102

DoD 8910.1-M, June 1998

5 TABLE OF CONTENTS
TABLE OF CONTENTS, Continued

CHAPTER 5 - C5. INTERAGENCY INFORMATION REQUIREMENTS

 

 C5.1. Purpose 107

 C5.2. Scope 107

 C5.3. Definitions 107

 C5.4. Responsiblities 108

 C5.4.1. Requiring Agency Components 108

 C5.4.2. Responding Agency Components 109

 C5.5. Coverage 109

 C5.5.1. Excluded Organizations 109

 C5.5.2. Exemptions 110

 C5.5.3. Special Circumstances 110

 C5.6. Procedures to License or Revise Interagency Information Requirements 110

 C5.6.1. Overview 110

 C5.6.2. Preliminary Action 111

 C5.6.2.1. Coordinate with IMCO 111

 C5.6.2.2. Discussion with GSA 111

 C5.6.3. Waiver Provisions 111

 C5.6.4. Prepare Justification 111

 C5.6.5. Prepare OF 101, "Summary Worksheet for Estimating Reporting Costs" 112

 C5.6.6. Prepare SF 360, "Request to Approve an Interagency Reporting Requirement" 112

 C5.6.7. Clear Through DoD Component Information Management Control Officer 114

 C5.6.8. Submission to WHS/DIOR 115

 C5.6.8.1. Reports Management Criteria 115

 C5.6.8.2. Privacy Act 115

 C5.6.8.3. DoD Forms Management Program 115

 C5.6.8.4. DoD Data Administration Program 115

 C5.6.9. Submission to GSA 115

 C5.6.10. Approval/Disapproval 115

 C5.6.11. Appeal Provisions 116

 C5.6.12. Notification of Approval to Responding Agencies 116

 C5.6.13. Submission of Issuance to GSA 116

 C5.7. Procedures to Extend an Interagency Information Requirement 116

 C5.8. Procedures to Cancel an Interagency Information Requirement 116

 C5.9. Interagency Report Inventory 116

 C5.9.1. Overview 116

 C5.9.2. GSA Publication 117

 C5.9.3. Output Reports 117

DoD 8910.1-M, June 1998

6 TABLE OF CONTENTS
TABLE OF CONTENTS, Continued

CHAPTER 6 - C6. CONGRESSIONAL INFORMATION REQUIREMENTS

 

 C6.1. Purpose 121

 C6.2. Scope 121

 C6.3. Exemptions 121

 C6.4. Responsibilities 121

 C6.4.1. DoD Components 121

 C6.4.2. WHS/DIOR 122

 

CHAPTER 7 - C7. COST ESTIMATING PROCEDURES

 

 C7.1. Overview 125

 C7.1.1. General 125

 C7.1.2. Scope 125

 C7.2. Costing Alternatives 126

 C7.2.1. Pilot Testing 126

 C7.2.2. Factoring 126

 C7.2.3. Sampling 126

 C7.2.4. Technical Estimates 126

 C7.3. Costing Accuracy 126

 C7.4. Costing Methods 126

 C7.4.1. Routine Cost Estimate 126

 C7.4.2. Full Cost/Benefit Analysis 127

 C7.5. Excluded Costs 127

 C7.6. Cost Estimating Procedures 127

 C7.7. Sample Cost Estimate 129

 C7.7.1. Hourly Rate 129

 C7.7.2. Direct Personnel Costs 130

 C7.7.3. Total Overhead Cost 130

 C7.7.4. Total Mission Cost 131

 C7.7.5. Overall Overhead Rate 131

 C7.7.6. Specific Overhead Costs 131

 C7.7.7. Direct Equipment Costs 131

 C7.7.8. Direct Material Costs 132

 C7.7.9. Other Direct Costs 132

 C7.7.10. Final Costs 132

 C7.7.11. Sample OF 101, "Summary Worksheet for Estimating Reporting Costs" 132

 C7.8. Other Methods 132

DoD 8910.1-M, June 1998

7 TABLE OF CONTENTS
FIGURES

Figure Title Page

C3.F1. Process Flow Chart - Procedures to License DoD Public Information Requirements 58

C3.F2. OMB Form 83-I, "Paperwork Reduction Act Submission" - Sample 59

C3.F3. OMB Form 83-INST, "Instructions for Requesting OMB Review Under the Paperwork 

Reduction Act"

61

C3.F4. Supporting Statement Outline 65

C3.F5. Supporting Statement - Sample 71

C3.F6. Federal Register 60-day Notice - Sample 78

C3.F7. Federal Register 30-day Notice - Sample 80

C3.F8. OMB 83-C, "Paperwork Reduction Act Change Worksheet" 82

C3.F9. OMB 83-E, "Paperwork Reduction Act Emergency Extension" 83

C4.F1. Process Flow Chart - "OSD Procedures to License DoD Internal Reports" 103

C4.F2. SD Form 455, "Request for Approval of Information Collection" - Sample 104

C4.F3. SD Form 455, "Request for Approval of Information Collection" - Instructions 105

C5.F1. Process Flow Chart - DoD Procedures to License Interagency Reporting Requirements 118

C5.F2. SF 360, "Request to Approve an Interagency Reporting Requirement - Sample 119

C7.F1. Optional Form 101, "Summary Worksheet for Estimating Reporting Costs" - Sample 134

DoD 8910.1-M, June 1998

8 FIGURES
REFERENCES

(a) DoD Directive 5230.9, "Clearance of DoD Information for Public Release," April 

9, 1996 

(b) DoD Directive 8910.1, "Management and Control of Information Requirements," 

June 11, 1993 

(c) Title 5, Code of Federal Regulations, Part 1320, "Controlling Paperwork Burdens 

of the Public," current edition 

(d) DoD 5400.11-R "Department of Defense Privacy Program," August 31, 1983, 

authorized by DoD Directive 5400.11, June 9, 1982

(e) DoD 7750.7-M, "DoD Forms Management Program Procedures Manual," May 31, 

1990, authorized by DoD Instruction 7750.7, "DoD Forms Management Program," 

May 31, 1990 

(f) DoD 8320.1-M, "Data Administration Procedures," March 1994, authorized by 

DoD Directive 8320.1, September 26, 1991

(g) Chapter 35, of title 44, United States Code 

(h) Public Law 104-106, "National Defense Authorization Act for Fiscal Year 1996, 

Division E, "Clinger-Cohen Amendment" (formerly "Information Technology 

Management Reform Act of 1996")

(i) Title 41, Code of Federal Regulations, Part 101-11.103(e)(2), "Creation 

Maintenance and Use of Agency Records," current edition 

(j) Title 41, Code of Federal Regulations, Part 101-11.204, "Interagency Reports 

Management Program," current edition 

(k) DoD Instruction 1100.13, "Surveys of Department of Defense Personnel," 

November 21, 1996 

(l) DoD 5025.1-M, "DoD Directives System Procedures," August 1994, authorized by 

DoD Directive 5025.1, June 24, 1994

(m) Public Law 104-13, "Paperwork Reduction Act of 1995," October 1995

(n) Office of Management and Budget Circular A-130, "Management of Federal 

Information Resources," February 8, 1996

(o) Section 552a of title 5, United States Code, "The Privacy Act of 1974," as 

amended 

(p) DoD 8910.1-L, "Listing of Approved Recurring Information Requirements," 

authorized by DoD Directive 8910.1, "Management and Control of Information 

Requirements," June 11, 1993

(q) "Resource Manual for Customer Surveys" Statistical Policy Office, Office of 

Management and Budget, Executive Office of the President, October 1993

(r) Chapter 88, Section 1782 of title 10, United States Code, "Surveys of Military 

DoD 8910.1-M, June 1998

9 REFERENCES
Families" added by Section 568(a)(1), Public Law 104-106, "National Defense 

Authorization Act for Fiscal Year 1996"

(s) Section 41 of title 15, United States Code, "Federal Trade Improvement Act of 

1980"

(t) Section 1311 of title 15, United States Code, "Anti-trust Civil Process Act"

(u) Federal Register, Volume 55, pages 38445-38470, September 18, 1990 "Federal 

Register Thesaurus of Indexing Terms"

(v) DoD 4525.8-M, "DoD Official Mail Manual," July 1987, authorized by DoD 

Directive 4525.6, May 5, 1980

(w) DoD 7000.14-R, "DoD Financial Management Regulations," Volume 4, 

"Accounting Policy and Procedures," January 1995, authorized by DoD Instruction 

7000.14, "DoD Financial Management Policy and Procedures"

(x) DoD Directive 5200.26, "Defense Investigative Program," June 12, 1979 

(y) DoD Directive 5200.27, "Acquisition of Information Concerning Persons and 

Organizations Not Affiliated with the Department of Defense," January 7, 1980 

(z) Sections 2101 et seq., 2501 et seq., 2701 et seq., 2901 et seq., and 3101 et seq., of 

title 44 United States Code, "Federal Records Act of 1950"

(aa) DoD Directive 5545.2, " DoD Directive 5545.2, "DoD Policy for Congressional 

Authorization and Appropriations Reporting Requirements," July 22, 1996 

(ab) DoD Instruction 7041.3, "Economic Analysis for Decision-making," November 7, 

1995

DoD 8910.1-M, June 1998

10 REFERENCES
AL1. ABBREVIATIONS and/or ACRONYMS

AL1.1. ADN Agency Disclosure Notice

AL1.2. ADP Automated Data Processing

AL1.3. AIS Automated Information System

AL1.4. ASD Assistant Secretary of Defense

AL1.5. CDAd Component Data Administrator

AL1.6. CFR Code of Federal Regulations

AL1.7. CIO Chief Information Officer

AL1.8. C3I Command, Control, Communications, and Intelligence

AL1.9. DAR Defense Acquisition Regulation

AL1.10. DARPA Defense Advanced Research Projects Agency

AL1.11. DCAA Defense Contract Audit Agency

AL1.12. DIOR Directorate for Information Operations and Reports

AL1.13. DISA Defense Information Systems Agency

AL1.14. DLA Defense Logistics Agency

AL1.15. DMDC Defense Manpower Data Center

AL1.16. DoD Department of Defense

AL1.17. DSAA Defense Security Assistance Agency

AL1.18. DSS Defense Security Service

AL1.19. DSWA Defense Special Weapons Agency

AL1.20. FDAd Functional Data Administrator

AL1.21. FPMR Federal Property Management Regulations

AL1.22. FR Federal Register

AL1.23. GSA General Services Administration

AL1.24. ICB Information Collection Budget

AL1.25. ICD Information Control Division

AL1.26. IMCO Information Management Control Officer

AL1.27. IRCN Interagency Report Control Number

AL1.28. IRM Information Resources Management

AL1.29. JCS Joint Chiefs of Staff

AL1.30. NIMA National Imagery and Mapping Agency

AL1.31. NPRM Notice of Proposed Rule-Making

AL1.32. OASD Office of the Assistant Secretary of Defense

AL1.33. OF Optional Form

AL1.34. OIG Office of the Inspector General

AL1.35. OMB Office of Management and Budget

DoD 8910.1-M, June 1998

11 ABBREVIATIONS AND/OR ACRONYMS
AL1.36. OSD Office of the Secretary of Defense

AL1.37. OUSD Office of the Under Secretary of Defense

AL1.38. PRA Paperwork Reduction Act

AL1.39. P&R Personnel and Readiness

AL1.40. RCS Report Control Symbol

AL1.41. ROTC Reserve Officers Training Corps

AL1.42. SF Standard Form

AL1.43. U.S.C. United States Code

AL1.44. USD Under Secretary of Defense

AL1.45. WHS Washington Headquarters Services

DoD 8910.1-M, June 1998

12 ABBREVIATIONS AND/OR ACRONYMS
C1. CHAPTER 1

GENERAL INFORMATION

C1.1. INTRODUCTION

The effective management of reports requires an organized and continuous effort to 

improve the quality and economy of reporting by providing managers with needed 

information at the right time, in the best format, and at the lowest possible cost. This 

Manual specifically addresses reports management procedures for the Department of 

Defense.

C1.2. REISSUANCE AND PURPOSE

This Manual:

C1.2.1. Implements policy and updates responsibilities and procedures for the 

preparation, coordination, approval, implementation and internal review of:

C1.2.1.1. DoD Public Information Requirements (Chapter C3.);

C1.2.1.2. DoD Internal Information Requirements (Chapter C4.); and

C1.2.1.3. Interagency Information Requirements (Chapter C5.), and

C1.2.2. Provides general information regarding the additional recordkeeping and 

review requirements for Congressional information requirements (Chapter C6.) and 

surveys as they relate to DoD public, internal and interagency information 

requirements.

C1.3. SCOPE

C1.3.1. This Manual covers the procedures for the establishment and licensing of 

new information requirements and the revision or cancellation of existing 

requirements. These information requirements include statistical and attitude/opinion 

surveys, Congressional, public, interagency, and DoD internal information 

requirements.

C1.3.2. All information and reporting systems as well as all techniques, both 

DoD 8910.1-M, June 1998

13 CHAPTER 1
electronic and manual, are included under the provisions of this Manual unless 

specifically exempted.

C1.3.3. The reports management function includes the reports, forms, surveys, 

magnetic tapes, disks, and other media of internal agency systems or procedures as 

well as the reporting systems themselves.

C1.3.4. This Manual does not address the release of information requested from 

DoD Components by individuals or private businesses. DoD personnel should follow 

the guidance for public release of Defense information in accordance with DoD 

Directive 5230.9, “Clearance of DoD Information for Public Release” (reference (a)).

C1.4. POLICY

It is DoD policy under DoD 8910.1, “Management and Control of Information 

Requirements” (reference (b)) to:

C1.4.1. Ensure that sufficient information is available to achieve military 

effectiveness and management efficiency;

C1.4.2. Minimize and control the burden associated with the collection and 

reporting of information;

C1.4.3. Ensure that information requirements are valid, accurate, and essential to 

the mission of the user's organization;

C1.4.4. Avoid both duplication and unnecessary generation of data;

C1.4.5. Emphasize statistical sampling techniques and use of information 

technology as approaches for minimizing reporting workloads;

C1.4.6. Ensure that information needs are clearly identified and that reports to be 

generated by the system represent cost-effective use of resources in the development 

and operational life cycle of an automated information system (AIS);

C1.4.7. Minimize, account for, and control information collected from the public 

(individuals, businesses, and other private institutions) and State and local 

governments in accordance with Title 5, Code of Federal Regulations (CFR), Part 

1320 (reference (c));

DoD 8910.1-M, June 1998

14 CHAPTER 1
C1.4.8. Ensure that optimum effectiveness and economy in the development of 

information requirements is achieved;

C1.4.9. Subject each new or revised information requirement to a cost analysis;

C1.4.10. Coordinate information requirements that involve the collection of 

personal information on individuals consistent with the provisions of DoD 5400.11-R 

(reference (d));

C1.4.11. Approve and symbolize DoD internal information requirements; i.e., 

assigned a report control symbol (RCS), at the Component level generating the 

requirement;

C1.4.12. Submit requests for forms used to collect information in accordance 

with DoD 7750.7-M (reference (e));

C1.4.13. Evaluate and screen each item of data in the information requirement 

against data in existing information collections to determine whether such information 

can satisfy the requirement;

C1.4.14. Standardize data used to support DoD operations and decision-making 

or in an AIS that requires horizontal and/or vertical sharing of data in accordance with 

DoD 8320.1-M (reference (f));

C1.4.15. Approve and symbolize, on a case-by-case basis, special, one-time, high 

priority, or time-urgent information requirements without being subjected to in-depth 

review and analysis, provided a statement of urgency is included with the request for 

approval;

C1.4.16. Refuse to honor information requirements that have not been properly 

approved and symbolized;

C1.4.17. Establish provisions for setting annual goals, consistent with critical 

mission needs, to reduce the number or frequency of reports; and

C1.4.18. Ensure that ongoing information requirements are assessed for validity, 

necessity, and adequacy no less frequently than every three years.

C1.5. OBJECTIVES

DoD 8910.1-M, June 1998

15 CHAPTER 1
C1.5.1. The Primary Objectives of the DoD Reports Management Program are to:

C1.5.1.1. Identify the information needs of managers at every organizational 

level;

C1.5.1.2. Collect, transmit, process, and store information through the most 

economical use of personnel, funds, and equipment;

C1.5.1.3. Prevent the imposition of invalid, inefficient, or unnecessary 

reports;

C1.5.1.4. Coordinate reports management with related information resources 

management activities such as forms management and data standardization;

C1.5.1.5. Subject reports and reporting systems to a continuous, objective 

review for quality and economy of reporting; and

C1.5.1.6. Provide necessary security for the information to the degree 

warranted by its sensitivity.

C1.5.2. The DoD Reports Management Program:

C1.5.2.1. Reduces voluminous data accumulation by eliminating unnecessary 

and duplicate reports;

C1.5.2.2. Provides a systematic means for improving the flow and content of 

information;

C1.5.2.3. Provides a means for measuring the value of information against 

the cost of collecting it;

C1.5.2.4. Improves reporting methods and techniques by applying 

information processing technology; and

C1.5.2.5. Reduces agency costs.

C1.6. RESPONSIBILITIES

C1.6.1. The Assistant Secretary of Defense for Command, Control, 

Communications, and Intelligence (ASD(C3I)), as the Department of Defense Chief 

DoD 8910.1-M, June 1998

16 CHAPTER 1
Information Officer (CIO), is assigned overall policy for the DoD Reports 

Management Program and implements:

C1.6.1.1. Chapter 35 of Title 44, United States Code (reference (g)), as 

amended by Section 5125(a) of Public Law 104-106, “National Defense Authorization 

Act for Fiscal Year 1996,” Division E, “Clinger-Cohen Act” (formerly “Information 

Technology Management Reform Act of 1996”) (reference (h)), consistent with the 

guidance prescribed by the Office of Management and Budget;

C1.6.1.2. 41 CFR 101-11.103(e)(2) (reference (i)); and

C1.6.1.3. 41 CFR 101-11.204 (reference (j)).

C1.6.2. The Office of the Under Secretary of Defense for Personnel and 

Readiness (OUSD(P&R)) shall, before submission to the Director, Washington 

Headquarters Services (WHS), approve all attitude and opinion surveys requiring the 

participation of personnel in multiple DoD Components, as required by DoD 

Instruction 1100.13 (reference (k)). The DoD Components, other than OSD, have 

their own implementing guidance for their internal reports. See Chapter C4., 

paragraph C4.5., “DoD Component Procedures.”

C1.6.3. The Directorate for Information Operations and Reports (DIOR), 

Washington Headquarters Services (WHS), shall be responsible for the overall 

operation of the DoD Reports Management Program, to include:

C1.6.3.1. Symbolizing OSD internal information requirements;

C1.6.3.2. Processing public and interagency information requirements;

C1.6.3.3. Publishing this Manual;

C1.6.3.4. Conducting DoD-wide termination reviews of Congressional 

information requirements to include recurring reports, certifications and notifications; 

and

C1.6.3.5. Executing the Information Collection Budget (ICB).

C1.6.4. The Heads of the DoD Components shall:

C1.6.4.1. Not respond to unlicensed information requirements that are not 

exempt;

DoD 8910.1-M, June 1998

17 CHAPTER 1
C1.6.4.2. Establish an information requirements control activity under the 

CIO and to assign an Information Management Control Officer (IMCO) to serve as the 

key point of contact;

C1.6.4.3. Submit requests for information collections from the public or 

other Federal Agencies to WHS/DIOR;

C1.6.4.4. Coordinate their survey requirements with responding DoD 

Component survey control offices;

C1.6.4.5. Ensure that users justify new information requirements before 

submission for approval;

C1.6.4.6. Maintain cost information on each approved information 

requirement;

C1.6.4.7. Obtain WHS/DIOR approval when information is collected from 

one or more DoD Components other than the requesting DoD Component;

C1.6.4.8. Establish goals for the reduction in the number or frequency of 

their internally prescribed reports; and

C1.6.4.9. Ensure that users assess their ongoing information requirements no 

less frequently than every three years.

C1.6.5. The Heads of the OSD Components shall:

C1.6.5.1. Not respond to unlicensed information requirements that are not 

exempt;

C1.6.5.2. Assign an IMCO to serve as the key point of contact for their 

respective functional areas;

C1.6.5.3. Submit their information requirement requests through the OSD 

Component IMCO to WHS/DIOR;

C1.6.5.4. Establish and implement standards and procedures for initiating, 

identifying, reviewing, approving, preparing, distributing, and discontinuing internal 

reporting requirements;

C1.6.5.5. Ensure that Directives and Instructions containing information 

DoD 8910.1-M, June 1998

18 CHAPTER 1
requirements are updated in accordance with DoD 5025.1-M (reference (l));

C1.6.5.6. Provide for the periodic review of approved reports for need, 

adequacy, design, economy of preparation and use;

C1.6.5.7. Submit their survey information requirements to the OUSD(P&R) 

for approval prior to submitting their requests to WHS/DIOR;

C1.6.5.8. Coordinate their survey requirements with responding DoD 

Component survey control offices;

C1.6.5.9. Assess their ongoing information requirements no less frequently 

than every three years; and

C1.6.5.10. Submit their respective information collection budgets to 

WHS/DIOR.

DoD 8910.1-M, June 1998

19 CHAPTER 1
C2. CHAPTER 2

DoD REPORTS MANAGEMENT PROGRAM

C2.1. PURPOSE

The purpose of this chapter is to identify and describe each of the areas that comprise 

the DoD Reports Management Program.

C2.2. PUBLIC INFORMATION REQUIREMENTS - CHAPTER C3.

C2.2.1. Public information requirements are those that require responses from 

members of the public; the term "public-use reports" was used frequently in past years.

C2.2.2. Public information requirements are subject to Office of Management and 

Budget (OMB) review and clearance and are covered by Title 5 CFR 1320 (reference 

(c)). Public information requirements must, unless exempt, be approved by OMB and 

assigned an OMB control number and expiration date to license the collection.

C2.2.3. Chapter 35 of Title 44, United States Code (reference (g)), as amended by 

Public Law 104-13, “The Paperwork Reduction Act of 1995,” (reference (m))

establishes a broad mandate for agencies to perform their information resources 

management activities in an efficient, effective, and economical manner. OMB A-130 

(reference (n)) implements OMB authority to provide uniform Government-wide 

information resources management policies as required by reference (g).

C2.2.4. Members of the public are considered to be individuals, households, 

private firms, companies, contractors, Federal employees in special circumstances, and 

others. Current Federal civilian employees and Military Personnel are considered 

members of the public, if the collection of information is addressed to them in their 

capacity as individual private citizens.

C2.2.5. Special collection requirements, as set forth in DoD 5400.11-R (reference 

(d)), may exist when personal information is to be collected from U.S. citizens or 

aliens lawfully admitted for permanent residence.

C2.2.6. Chapter C3. of this Manual issues the procedures to obtain OMB 

approval to collect information from the public and the requirement to provide to the 

responding public, either orally or in writing, an Agency Disclosure Notice (ADN).

DoD 8910.1-M, June 1998

20 CHAPTER 2
C2.3. DoD INTERNAL INFORMATION REQUIREMENTS - CHAPTER C4.

C2.3.1. DoD internal information requirements pertain to information required at 

any level within the DoD for internal management or to report to the Legislative or 

Judicial branches of the Federal Government. For the purposes of this Manual, 

internal information means those information requirements internal to a particular DoD 

Component and/or licensed by that Component.

C2.3.2. DoD internal information requirements constitute the bulk of DoD 

reporting and are subject to Title 41 CFR Part 101-11.103(e)(2) (reference (i)) and 

required by DoD Directive 8910.1 (reference (b)).

C2.3.3. OSD Components that need information from one or more DoD 

Components, must, unless exempt, be assigned an RCS by WHS/DIOR to license the 

information requirement.

C2.3.4. OSD internal information requirements that are also interagency 

information requirements must be submitted to the General Services Administration 

(GSA) for clearance in accordance with the procedures in Chapter C5. of this Manual.

C2.3.5. A statement identifying recurring OSD internal information requirements 

and the assigned RCS shall be made in the Information Requirements section of the 

DoD issuance in accordance with DoD 5025.1-M (reference (l)).

C2.3.6. DoD Components should establish reports management programs and 

procedures to license their organization’s internal information requirements. General 

information for establishing a reports control activity is provided in Chapter C4. of this 

Manual.

C2.3.7. Chapter C4. of this Manual issues the procedures for reviewing and 

licensing DoD internal information requirements imposed by the Office of the 

Secretary of Defense (OSD) on the DoD Components under the authority of DoD 

Directive 8910.1 (reference (b)). It also references the regulations and instructions 

(procedures) for reviewing and licensing DoD internal information requirements 

imposed by the DoD Components on their subordinate commands. See Chapter C4., 

paragraph C4.5.,“DoD Component Procedures.”

C2.4. INTERAGENCY INFORMATION REQUIREMENTS - CHAPTER C5.

DoD 8910.1-M, June 1998

21 CHAPTER 2
C2.4.1. Interagency information requirements are those which involve the 

exchange of information between Federal Agencies.

C2.4.2. Interagency information requirements must be submitted to GSA for 

review and clearance and are subject to the provisions of Title 41 CFR, Part 

101-11.204, (reference (j)).

C2.4.3. The DoD Components that require information from one or more Federal 

Agencies must, unless exempt, obtain an Interagency Report Control Number (IRCN) 

issued by the GSA.

C2.4.4. Interagency information requirements that are also public information 

requirements shall be submitted to OMB for clearance in accordance with Chapter C3.

of this Manual.

C2.4.5. Interagency information requirements that are also DoD internal 

information requirements must be licensed in accordance with the procedures in 

Chapter C4. of this Manual.

C2.4.6. If another Federal Agency is requesting information from one or more 

DoD Components, that Agency must have a valid IRCN cited on the request for 

information. If the request does not display a valid IRCN, and the collection is not 

exempt, the DoD Components are not obligated to respond.

C2.4.7. Chapter C5. of this Manual issues the procedures to license an 

interagency information requirement.

C2.4.8. Release of personal information to other Federal Agencies may be subject 

to special disclosure requirements as set forth in DoD 5400.11-R (reference (d)).

C2.5. CONGRESSIONAL INFORMATION REQUIREMENTS - CHAPTER 6

C2.5.1. Congress is exempt from OMB and GSA reports review and licensing 

requirements. The responding agency, in this case DoD, is not. DoD policy is to 

provide the same level of analysis and response provided to the other categories of 

reports. Analysis and licensing of recurring Congressional information requirements 

including reports, certifications and notifications is the responsibility of the responding 

DoD Component. When the response requires information from more than one DoD 

Component the response to the Congress shall be from the responsible OSD 

DoD 8910.1-M, June 1998

22 CHAPTER 2
Component for that functional area.

C2.5.2. Congressional information requirements may be subject to DoD internal 

and external licensing requirements.

C2.5.3. The DoD Components must establish internal procedures necessary to 

manage their Congressional information requirements.

C2.5.4. Chapter C6. of this Manual provides general information on 

Congressional information requirements.

C2.6. SURVEYS OF DoD PERSONNEL

C2.6.1. All attitude and opinion surveys requiring the participation of military or 

civilian personnel in any DoD Component, other than the sponsoring Component, must 

be approved by OUSD(P&R) in accordance with DoD Instruction 1100.13, (reference 

(k)). The DoD Components and Military Departments shall coordinate their internal 

survey requirements with their respective survey organizations, when applicable.

C2.6.2. DoD internal report control symbols assigned to one-time surveys will 

expire one year from the date of issue and, unless extended, will be canceled from the 

inventory by WHS/DIOR after consultation with the requiring DoD Component IMCO 

and/or project officer. If the survey has not been conducted or completed during the 

year, the requiring DoD Component must request an extension.

C2.6.3. Surveys not identified in a DoD issuance or required by executive-level 

correspondence should be approved by an authority at a sufficient level within the 

organization to obligate the resources necessary to conduct the survey.

C2.6.4. Surveys conducted by the Military Departments or the Defense Agencies 

of personnel in one or more other DoD Components should be sponsored by their OSD 

Component functional area counterpart.

C2.6.5. Survey instruments used to collect information from the public should 

prominently display an Agency Disclosure Notice, a Privacy Act Statement (when 

applicable), and, in the upper right-hand corner of the cover, the OMB Control Data 

(control number and expiration date).

C2.6.6. Survey instruments used to collect information from other Federal 

Agencies should prominently display the Interagency Report Control Number in the 

DoD 8910.1-M, June 1998

23 CHAPTER 2
upper right-hand corner of the survey cover.

C2.6.7. Survey instruments used to collect information from the DoD 

Components should prominently display the DoD Internal Report Control Symbol in 

the upper right-hand corner of the cover.

C2.6.8. Survey instruments used to collect information from a combination of the 

public, other Federal Agencies and the DoD Components should prominently display 

the OMB Control Data, the Interagency Report Control Number and the DoD Internal 

Report Control Symbol in the upper right-hand corner of the cover, as applicable.

C2.7. DEFINITIONS - GENERAL

C2.7.1. Data Transmission. Data transmission consists of activities involved in 

the delivery of system outputs to users.

C2.7.2. Documentation. The documents or records containing information on 

the organization, functions, policies, decisions, procedures, and essential transactions 

of Agency reports management activities.

C2.7.3. Flowchart. A diagram that shows the step-by-step progression through a 

procedure or system especially using connecting lines and a set of conventional 

symbols.

C2.7.4. General Purpose Statistics. Statistics collected primarily for public and 

general government use, without reference to policy or program operations of the 

Agency collecting the information. Agencies should conduct statistical surveys that 

are designed to produce results that can be generalized to the universe of the study.

C2.7.5. Information Collection Request. A written or verbal report, application, 

schedule, survey, questionnaire, reporting or recordkeeping requirement, or other 

similar method calling for the collection of information.

C2.7.6. Information Management Control Officer. The single point of contact 

within an OSD or DoD Component responsible for the establishment, revision, and 

cancellation of information requirements.

C2.7.7. Information Requirement. The functional area expression of need for 

data or information to carry out specified and authorized functions or management 

purposes that require the establishment or maintenance of forms and formats, or 

DoD 8910.1-M, June 1998

24 CHAPTER 2
reporting or recordkeeping systems, whether manual or automated.

C2.7.8. Information Resources Management. The planning, budgeting, 

organizing, directing, training, and administrative control associated with Federal 

Government information resources. The term encompasses both information itself 

and the related resources, such as personnel, equipment, funds, and information 

technology.

C2.7.9. Management Information. Management information is data or 

information needed for use in determining policy; planning, controlling, and evaluating 

operations and performance; making administrative determinations; or preparing other 

reports. The data or information may be in narrative, statistical, graphic, or other 

form, and may be displayed on paper documents, magnetic tapes, terminal responses, 

or in other forms.

C2.7.10. Methods of Collection. The mechanism, or method, by or through 

which a Federal Agency conducts or sponsors a collection of information.

C2.7.10.1. The method used does not affect the requirement that the 

information collection be approved and symbolized.

C2.7.10.2. Written reports, applications, schedules, surveys, questionnaires, 

reporting or recordkeeping requirements, or other similar methods are collections of 

information. They may be conducted by mail or through personal or telephone 

interviews, group interviews, communicated via electronic media, automated collection 

techniques, Federal regulation, or any other approach through which the respondent or 

potential respondent can be informed of the questions to which response is requested 

or required.

C2.7.10.3. Similar methods may include contracts, agreements, policy 

statements, plans, rules or regulations, planning requirements, circulars, directives, 

instructions, bulletins, requests for proposal or other procurement requirements, 

interview guides, disclosure requirements, labeling requirements, telegraphic or 

telephonic requests, and standard questionnaires used to monitor compliance with 

agency requirements.

C2.7.11. Need. Some programmatic or policy necessity or requirement exists, 

including Congressional requirements.

C2.7.12. Practical Utility. The usefulness of the information being collected 

(considering its accuracy, adequacy, and reliability) to carry out the Agency's functions 

DoD 8910.1-M, June 1998

25 CHAPTER 2
in a timely manner.

C2.7.13. Privacy Act (Section 552a, Title 5, U.S.C. (reference (o))). The Act 

regulates the collection, maintenance, use, and disclosure of personal information by 

Federal agencies. When surveys of DoD personnel are subject to the provisions of the 

Act, the agency must establish procedures, consistent with and pursuant to the 

requirements of DoD 5400.11-R (reference (d)), to ensure that the personal privacy of 

the individual is protected. 

 

Note: DoD Components should establish procedures for identifying reports 

containing personal information and information protected by the Privacy Act for 

preventing the disclosure of such information to unauthorized individuals or 

organizations.

C2.7.14. Program. The particular activity for which a manager is responsible at 

any organization level.

C2.7.15. Program Element. A function or segment of the program. Program 

elements constitute all the functions of a particular program.

C2.7.16. Purpose. The collection of information will, or is expected to, achieve 

a result within the statutory, programmatic or policy requirements of the sponsoring 

Agency, and will, or is expected, to be used on a timely basis.

C2.7.17. Report. Data or information that is prepared for use in determining 

policy; planning, controlling, and evaluating operations and performance; making 

administrative decisions or preparing other reports. The data or information may be 

graphic or in another form, and may be on paper, magnetic tapes, on or through the 

World Wide Web, or other media.

C2.7.18. Reports Management Function. This function includes the reports, 

forms, magnetic tapes, disks, and other media of internal Agency systems or 

procedures as well as the reporting systems themselves. The reports management 

function is primarily concerned with public, interagency, DoD internal and 

Congressional information requirements.

C2.7.19. Sampling. A technique for extracting a finite part of a statistical 

population whose properties are studied to gain information about the whole.

C2.7.20. Surveys of Persons. Systematic data collections, using personal or 

telephonic interviews, or self-administered questionnaires, from a sample of ten or 

DoD 8910.1-M, June 1998

26 CHAPTER 2
more persons as individuals or representatives of Agencies, which solicit attitudes, 

opinions, behavior, and related demographic, social and economic data to identical 

questions including those that are to be used for statistical compilations for research 

and/or policy assessment purposes.

C2.7.21. Unnecessary Duplication. Information exactly alike or corresponding 

to information that could serve the Agency's purpose and need is already available to 

the Agency.

C2.8. PUBLISHED LISTINGS

C2.8.1. OMB, Office of Information and Regulatory Affairs, publishes the "List 

of Active Reports Approved Under the Federal Reports Act" on a monthly basis. This 

report contains the official status of the reports approved by OMB as of that point in 

time and serves as the official record of burden hours being expended by the public. 

This report is used in the formulation of the upcoming fiscal year Information 

Collection Budget (ICB).

C2.8.2. GSA, Office of Information Resources Management, publishes the annual 

"Inventory of Approved Interagency Reports." The listing is sorted by agency and 

provides the Interagency Report Control Number, report title, prescribing directive, 

respondents, and expiration date.

C2.8.3. WHS/DIOR publishes DoD 8910.1-L (reference (p)) as required by DoD 

Directive 8910.1 (reference (b)). The listing provides information on active, canceled 

and expired DoD internal and interagency reporting requirements and information on 

active and canceled public information collections. Active listings for these 

information collections are published monthly on the Internet under DefenseLINK, 

Publications.

C2.8.4. WHS/DIOR prepares and distributes monthly reports containing 

information on DoD internal, interagency, and public information requirements. The 

reports are primarily for use by OSD Component IMCOs in managing their programs. 

The reports provide information on reporting requirements that have been added, 

canceled, revised, have expired or that will expire in the next 90 days.

C2.8.5. WHS/DIOR maintains a "Listing of Recurring Congressional Reports" 

containing active recurring reporting requirements found in Public Law or the United 

States Code. The listing is updated as required and published on the Internet under 

DefenseLINK, Publications for reference by all DoD Component IMCOs and their 

DoD 8910.1-M, June 1998

27 CHAPTER 2
Congressional liaison counterparts.

C2.8.6. WHS/DIOR from time to time will forward special reports to advise 

IMCOs of the status of their reports programs. IMCOs may request special reports 

from WHS/DIOR at any time.

C2.9. RESPONSIBILITIES

C2.9.1. DoD Components. Each DoD Component, in providing for effective 

controls over the creation of records, is expected to establish an appropriate program 

for the management of its information requirements. It is the responsibility of the 

DoD Components to:

C2.9.1.1. Not respond to unlicensed information requirements that are not 

exempt;

C2.9.1.2. Establish a reports control activity under the Chief Information 

Officer as required by DoD Directive 8910.1 (reference (b)) and to assign an IMCO, 

Reports Manager, Reports Control Liaison, Officer, or Specialist to serve as the key 

point of contact;

C2.9.1.3. Process, assign, extend, reinstate, and cancel their internal 

information requirements;

C2.9.1.4. Coordinate cross-component information collections that require 

attitude/opinion surveys with OUSD(P&R) in accordance with DoD Instruction 

1100.13 (reference (k));

C2.9.1.5. Submit requests for information collections from the public and 

other Federal Agencies to WHS/DIOR;

C2.9.1.6. Notify WHS/DIOR when unlicensed or expired reporting 

requirements are imposed; and

C2.9.1.7. Notify WHS/DIOR of actions taken to stop information 

collections, which have not been approved, when identified within their component.

C2.9.2. OSD Components. Each OSD Component, in providing for effective 

controls over the creation of records, is expected to establish an appropriate program 

for the management of its information requirements. It is the responsibility of OSD 

DoD 8910.1-M, June 1998

28 CHAPTER 2
Components to:

C2.9.2.1. Not respond to unlicensed information requirements that are not 

exempt;

C2.9.2.2. Assign an IMCO to serve as the key point of contact;

C2.9.2.3. Submit requests through the OSD Component IMCO to 

WHS/DIOR for public, interagency, and DoD internal and survey information 

requirements;

C2.9.2.4. Establish and implement standards and procedures for initiating, 

identifying, reviewing, approving, preparing, distributing, and discontinuing DoD 

internal information requirements;

C2.9.2.5. Ensure that issuances containing OSD internal information 

requirements are updated in accordance with applicable Directives;

C2.9.2.6. Provide for the periodic review of approved reports for need, 

adequacy, design, and economy of preparation and use;

C2.9.2.7. Ensure that all surveys are coordinated with the OUSD(P&R);

C2.9.2.8. Establish and implement standards and procedures for designing 

management information systems, including the design of reports used in those 

systems;

C2.9.2.9. Notify WHS/DIOR when unlicensed or expired reporting 

requirements are imposed;

C2.9.2.10. Notify WHS/DIOR of actions taken to stop information 

collections, which have not been approved, when identified within your component; 

and

C2.9.2.11. Ensure that all surveys, if subject to the provisions of The Privacy 

Act of 1974 (reference (o)), satisfy the requirements of DoD 5400.11-R (reference (d)).

C2.9.3. Information Management Control Officer (IMCO). The responsibilities 

of the OSD Component IMCOs are to:

C2.9.3.1. Serve as a technical advisor to program managers and 

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29 CHAPTER 2
administrators on matters concerning information requirements;

C2.9.3.2. Review and screen requests for public, interagency, DoD internal 

and survey information requirements;

C2.9.3.3. Process documentation requirements to assign, extend, reinstate, 

and cancel their public, interagency, DoD internal and survey information 

requirements;

C2.9.3.4. Manage the Information Collection Budget (ICB) for their 

organizations;

C2.9.3.5. Resolve problems associated with the reports management function 

relative to their respective organizations and missions;

C2.9.3.6. Maintain inventories and records of the information collections 

under their cognizance;

C2.9.3.7. Participate in internal or DoD-wide reviews of reports and reports 

management activities;

C2.9.3.8. Notify WHS/DIOR when unlicensed or expired reporting 

requirements are imposed; and

C2.9.3.9. Distribute approval notices from OMB, GSA, WHS/DIOR and 

their respective Headquarters to their appropriate offices.

C2.9.4. OASD(C3I) is assigned the overall policy for the DoD Reports 

Management Program and is responsible for:

C2.9.4.1. Publishing DoD Directive 8910.1 (reference (b));

C2.9.4.2. Establishing annual report reduction goals; and

C2.9.4.3. Formulating the DoD ICB.

C2.9.5. WHS/DIOR is responsible for the overall operation of the DoD Reports 

Management Program, which includes:

C2.9.5.1. Processing DoD public and interagency information requirements 

and approving OSD internal information requirements;

DoD 8910.1-M, June 1998

30 CHAPTER 2
C2.9.5.2. Publishing this Manual;

C2.9.5.3. Publishing the DoD 8910.1-L (reference (p));

C2.9.5.4. Publishing, annually, the "Program Activity Reports" for 

forwarding to the IMCOs;

C2.9.5.5. Publishing the "Listing of Recurring Congressional Information 

Requirements;"

C2.9.5.6. Advising OASD(C3I) on annual reports control activity and 

recommending reports reduction reviews;

C2.9.5.7. Conducting DoD-wide reports reduction reviews in coordination 

with DoD Component IMCOs and their Congressional liaison counterparts; and

C2.9.5.8. Executing the ICB.

DoD 8910.1-M, June 1998

31 CHAPTER 2
C3. CHAPTER 3

DoD PUBLIC INFORMATION REQUIREMENTS 

C3.1. PURPOSE

Chapter 35 of Title 44 U.S.C. (reference (g)) and its implementing regulation, 5 CFR 

1320 (reference (c)) cover the policy for collecting information from the public and 

have as their stated purpose to:

C3.1.1. Minimize the Federal paperwork burden on the public and the cost to the 

Federal Government of collecting, maintaining, using, and disseminating information;

C3.1.2. Maximize the usefulness of the information;

C3.1.3. Coordinate Federal information policies and practices;

C3.1.4. Improve the quality and use of Federal information and provide for the 

dissemination of information through effective use of information technology; and

C3.1.5. Ensure information is managed in accordance with applicable laws 

including those related to privacy and confidentiality, security of information and 

access to information.

C3.2. SCOPE

This chapter provides the necessary procedures for DoD Components to establish, 

revise, extend, and cancel information collections from members of the public. It 

includes detailed guidance on the preparation of OMB Form 83-I, “Paperwork 

Reduction Act Submission (See figures C3.F2. and C3.F3. (pages 1 and 2)),” a 

supporting statement (See figures C3.F3. (pages 3 and 4), C3.F4. and C3.F5.), and a 

60-day Federal Register Notice (See figure C3.F6.), all of which are required by OMB 

before their review of a public information collection proposal.

C3.3. DEFINITIONS

C3.3.1. Agency Disclosure Notice. The disclosure, on each collection of 

information, of the Agency estimate on the average burden hours per response required 

to respond to the collection. Included with the estimate of burden is a request that the 

DoD 8910.1-M, June 1998

32 CHAPTER 3
public direct comments concerning the accuracy of this estimate and any suggestions 

for reducing the burden to the Agency and to OMB. An Agency Disclosure Notice 

must be placed on copies of public information collections printed or reproduced after 

July 1, 1988.

C3.3.2. Burden Hours. See Public Burden (C3.3.5, below).

C3.3.3. Collection of Information. All oral, written, or electronically transmitted 

expressions of opinion or fact requested or required of ten or more persons by or for 

the Executive Branch, except those specifically exempted, require OMB approval and 

must display currently valid OMB control numbers. The collection must ask 

respondents to provide, disclose, or record facts or opinions in response to identical 

questions and must display a currently valid OMB control number, expiration date, and 

notice of legal consequences of failing to display the control number. Exceptions to 

displaying an expiration date must be requested, justified and approved by OMB.

C3.3.4. DoD Clearance Officer. The individual or office assigned the 

Department of Defense-wide responsibilities for managing public information 

reporting requirements. The DoD Clearance Officer is organizationally assigned to 

Washington Headquarters Services/Directorate for Information Operations and Reports 

(WHS/DIOR), Information Control Division.

C3.3.5. Public Burden. The total time, effort, or financial resources required to 

respond to a collection of information, including that to:

C3.3.5.1. Read or hear and then understand the instructions;

C3.3.5.2. Develop, modify, construct, monitor or assemble any materials or 

equipment necessary to collect and report the data or keep records;

C3.3.5.3. Compile information from records, and/or to conduct tests, 

interviews, inspections, polls, observations, or other activities necessary to obtain the 

information;

C3.3.5.4. Organize the information into the requested format;

C3.3.5.5. Review its accuracy and its method of presentation;

C3.3.5.6. Maintain, disclose, reproduce, disseminate, or report the 

information, and

DoD 8910.1-M, June 1998

33 CHAPTER 3
C3.3.5.7. Respond to any follow-up request initiated by the Agency or others 

affected by the information for clarification, further information or verification.

C3.4. APPLICABILITY

Chapter 35 of Title 44 U.S.C. (reference (g)) applies to the Executive Agencies, 

Government corporations, Government-controlled corporations, and independent 

regulatory Agencies. Reference (g), as amended by Section 5125(a) of Public Law 

104-106 (reference (h)) includes a provision that every Federal Agency designate a 

Chief Information Officer (CIO), who reports directly to the Agency head, to be 

responsible for that Agency's compliance with reference (g). The CIO for the 

Department of Defense is the Assistant Secretary of Defense for Command, Control, 

Communications, and Intelligence.

C3.5. RESPONSIBILITIES

C3.5.1. Office of Management and Budget (OMB).

C3.5.1.1. Reviews and approves proposed Agency information collections;

C3.5.1.2. Develops and oversees the implementation of uniform and 

consistent resource management policies, principles, standards, and guidelines, and 

promoting their use; and

C3.5.1.3. Reviews Agency paperwork reduction activities in connection with 

the Agency's fiscal budget, information collection budget, management oversight, 

procurement policy, regulatory policy, Automatic Data Processing (ADP) and 

telecommunications, and statistical policy functions.

C3.5.2. Federal Agencies. Federal Agencies shall not collect information from 

the public without first obtaining OMB approval, and should not seek to enforce or 

request compliance with disapproved or expired collections of information. Agencies 

shall ensure that a proposed collection:

C3.5.2.1. Imposes the least burden that is necessary for the performance of 

the Agency's function;

C3.5.2.2. Will not unnecessarily obtain information already available;

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34 CHAPTER 3
C3.5.2.3. Has practical utility. (i.e., the actual, not merely the theoretical or 

potential usefulness of the information being collected, considering its accuracy, 

adequacy, and reliability, and the Agency’s ability to process the information in a 

useful and timely fashion);

C3.5.2.4. Minimizes the Agency's cost of collections without shifting 

disproportionate costs or burden onto the public; and

C3.5.2.5. Satisfies the OMB guidelines described in paragraph C3.6., of this 

Chapter, below.

C3.5.3. Public.

C3.5.3.1. Notices of Proposed Information Collections Available for Public 

Comment are published in the Federal Register prior to the proposal being submitted 

to OMB. The public has 60 days in which to provide comments to the sponsoring 

Agency concerning the proposed information collection. The sponsoring Agency uses 

the public comments to evaluate the overall need for the collection, as well as for the 

possibility of revision of the collection. A copy of the Federal Register Notice, as 

well as a summary of the results of the Federal Register action, become a part of the 

proposal that is submitted to OMB for review and approval.

C3.5.3.2. Notices of Agency Information Collections Under OMB Review

are published in the Federal Register at the same time the proposed collection is 

forwarded to OMB for review and approval. The public normally has 30 days in 

which to provide comments to OMB concerning an information collection. OMB uses 

the public comments to help ensure that the information proposed to be collected is not 

already available, that the collection will meet the stated need and purpose, and that 

appropriate efforts are being made to minimize burden and maximize practical utility.

C3.6. OMB GUIDELINES

OMB guidelines for collecting information from the public must be satisfied. These 

OMB guidelines concern:

C3.6.1. Consultation with the Interested Agencies and Members of the Public to 

Minimize the Reporting Burden. Agencies should consult with a cross section of 

potential respondents or their representatives to obtain estimates of the burden 

involved in complying with the request. These consultations should include not more 

DoD 8910.1-M, June 1998

35 CHAPTER 3
than nine persons. Alternatively, Agencies may utilize public responses received from 

comment solicitation notices published in the Federal Register.

 

NOTE: Consultation in the sense of this guideline does not mean, and should not be 

confused with consultants, per se.

C3.6.2. Frequency, response time, and number of copies.

C3.6.2.1. Frequency. Information should not be reported more often than 

quarterly.

C3.6.2.2. Response Time. Written response should not be required sooner 

than 30 days after respondents have received the request for information.

C3.6.2.3. Number of Copies. Respondents should not be required to submit 

more than an original and two copies of a document.

C3.6.3. Nature and Format of Information Respondents Are to Keep or Submit, 

and the Record Retention Period.

C3.6.3.1. Information Format. As far as possible, avoid requiring 

respondents to maintain or provide information in a format different from that in which 

they customarily maintain it.

C3.6.3.2. Retention Period. Respondents should not be required to retain 

records, other than health, medical, Government contract, grant-in-aid, or tax records, 

for more than three years.

C3.6.4. Remuneration of Respondents. Agencies should not provide for any 

payment or gift to respondents, other than remuneration of contractors or grantees, 

unless an explanation has been provided to OMB as part of the information collection 

proposal and has received OMB approval. This requirement constitutes Item 9 of the 

Supporting Statement.

C3.6.5. Statistical Surveys. Agencies should conduct statistical surveys that are 

designed to produce results that can be generalized to the universe of the study. 

Additionally, information collections should not require the use of statistical data 

classifications that have not been approved by OMB. For additional guidance on 

conducting statistical surveys, see Appendix D., "Contracting for Surveys" of the OMB 

Publication "Resource Manual for Customer Surveys," (reference (q)).

DoD 8910.1-M, June 1998

36 CHAPTER 3
C3.6.6. Confidential Information. Respondents should not be required to submit 

proprietary, trade secret, or other confidential information unless the Agency can 

demonstrate that it has instituted procedures to protect the information’s confidentiality 

to the extent permitted by law.

C3.6.7. Simplified Requirements for Small Entities. The Agency should take all 

practical steps to develop simplified requirements for small businesses or entities.

C3.6.8. Use of Automated Collection Techniques and Other Forms of 

Information Technology to Reduce Burden on Respondents. The Agency should 

consider reducing the burden on respondents by use of automated collection techniques 

or other forms of information technology.

C3.6.9. Method of Collection. The mechanism or method by which a 

Component conducts or sponsors a collection of information does not affect the 

requirements that an agency seek OMB approval. The collection of information may 

be in any form or format, including, but not limited to report forms; application forms; 

questionnaires; surveys; requests for proposal or other procurement requirements; 

interview guides; oral communications; focus groups; telegraphic or telephonic 

requests; automated, electronic, mechanical, or other technological collection 

techniques.

C3.6.9.1. An electronic questionnaire, attached to an Internet site, which asks 

identical, specific questions of ten or more persons is subject to OMB review and 

approval. The approved electronic format shall display the OMB approval number 

and expiration date.

C3.6.9.2. An Internet “suggestion box” format such as one requesting “ideas, 

comments, suggestions, or anything else you would like to tell us,” or one asking “if 

you experience any technical problems with our site, or have any suggestions for 

improving it, please let us know,” are not considered to be identical questions. Such 

general solicitations of comments from the public do not require OMB approval.

C3.7. COVERAGE

C3.7.1. General. OMB approval is needed to collect information from members 

of the public. The purpose of this section is to:

C3.7.1.1. Define who is a member of the public for purposes of public 

DoD 8910.1-M, June 1998

37 CHAPTER 3
information collection;

C3.7.1.2. Cover the conditions under which a specific information collection 

may not require OMB review and approval; and

C3.7.1.3. Delineate protection afforded the respondent under the public 

protection clause of Chapter 35 of Title 44 U.S.C. (reference (g)).

C3.7.2. Members of the Public. Members of the public are individuals, 

partnerships, associations, corporations, (including operations of Government-owned, 

contractor-operated facilities other than "whole concept contracts"), business trusts, or 

legal representatives, organized groups of individuals, and State, territorial, tribal, or 

local governments, or components thereof.

C3.7.3. Federal Employees.

C3.7.3.1. Current Federal employees are considered members of the public if 

the collection of information is addressed to them in their capacity as individual private 

citizens. Federal employees, however, are not considered members of the public 

when they respond to a collection of information within the scope of their employment.

C3.7.3.2. Retired Federal employees are considered to be members of the 

public. Military retirees, however, are not considered to be members of the public 

when surveyed under reference (r).

C3.7.4. Military. Reference (r) states that the Secretary of Defense may conduct 

surveys of members of the Armed Forces serving on active duty or in active status, 

members of the families of such members, and retired members of the Armed Forces, 

but not retired members’ dependents, to determine the effectiveness of existing Federal 

programs relating to military families and the need for new programs. The Secretary 

of Defense may also gather information about their duty status from military 

Reservists, members of the National Guard and, during instruction and training 

activities from Reserve Officer Training Corps (ROTC) cadets.

C3.7.4.1. Military Personnel on Active Duty, including military reservists 

and members of the National Guard:

C3.7.4.1.1. Are not considered members of the public if they are 

responding to questions regarding their duty status as Federal employees or to 

determine the effectiveness of Federal programs relating to military families and the 

need for new programs. In either case, the collection will not need OMB approval.

DoD 8910.1-M, June 1998

38 CHAPTER 3
C3.7.4.1.2. Are considered members of the public, if the collection of 

information is addressed to them in their capacity as individual private citizens. 

Therefore, the collection will need OMB approval.

 

Note: All surveys of Military Personnel on active duty, including military reservists 

and members of the National Guard in active status, must be submitted to WHS/DIOR 

for review on a case-by-case basis. WHS/DIOR will determine whether the 

information collection requires OMB approval.

C3.7.4.2. Active Duty Military Dependents and Retirees are generally 

considered to be members of the public. They are not, however, considered members 

of the public if surveyed under (reference (r)). Retiree dependents are considered 

members of the public at all times.

C3.7.4.3. ROTC cadets are considered to be members of the public if the 

collection of information is addressed to them in their capacity as private citizens. 

They are not, however, considered members of the public when providing information 

to instructors during classroom and other training activities.

C3.7.5. Contractors.

C3.7.5.1. Contractors hired by a respondent to comply with the information 

collection request are not considered members of the public.

C3.7.5.2. Contractors with the Federal Government are considered to be 

members of the public for information collection purposes, and OMB approval is 

required to collect information from them.

C3.7.5.3. If the Federal Government sponsors, or is the recipient of the data 

collected from a survey conducted by a contractor, then the collection requires OMB 

approval. The collection must be licensed if the Government Agency dictates the 

questions, specifies what data will be asked of the public, or in any way influences the 

data parameters, or if the name of the Federal Government is invoked in any way. If, 

however, in providing the sponsor with information requested, the contractor devises 

their own questions, and uses them solely to construct the response to the Government, 

then it is not considered a collection of information from the public.

C3.7.6. Foreign Nationals. Foreign nationals are considered to be members of 

the public when the collection of information takes place in the United States.

DoD 8910.1-M, June 1998

39 CHAPTER 3
C3.7.7. Public Protection. The public protection clause of Chapter 35 of Title 44 

U.S.C. (reference (g)) affords protection to respondents in cases of improper 

information collecting. Notwithstanding any other provision of law, no person shall 

be subject to penalty for failing to comply with a collection of information subject to 

reference (g), if:

C3.7.7.1. The collection of information does not display a currently valid 

OMB control number;

C3.7.7.2. The Agency fails to inform the potential respondent that they are 

not required to respond unless the collection displays a currently valid OMB control 

number; or

C3.7.7.3. An Agency has imposed a collection of information as a means for 

providing or satisfying a condition for the receipt of a benefit or the avoidance of a 

penalty and a currently valid OMB control number is not displayed. The Agency shall 

not treat a person’s failure to comply, in and of itself, as grounds for withholding the 

benefit or imposing the penalty.

C3.7.7.4. All information collection instruments (forms, surveys, etc.) must 

contain an “Agency Disclosure Notice” (ADN) which should be prominently displayed 

at the top of a form or at the beginning of a survey. The following is a sample ADN: 

 

The public reporting burden for this collection of information is estimated to average 

XX [Insert the time in minutes/hours, as appropriate] minutes per response, 

including the time for reviewing instructions, searching existing data sources, gathering 

and maintaining the data needed, and completing and reviewing the collection of 

information. Send comments regarding this burden estimate or any other aspect of 

this collection of information, including suggestions for reducing the burden, to 

Department of Defense, Washington Headquarters Services, Directorate for 

Information Operations and Reports (XXXX-XXXX) [Insert OMB Control 

Number], 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 

Respondents should be aware that notwithstanding any other provision of law, no 

person shall be subject to any penalty for failing to comply with a collection of 

information if it does not display a currently valid OMB control number. 

 

PLEASE DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS.

DoD 8910.1-M, June 1998

40 CHAPTER 3
C3.8. EXEMPT COLLECTIONS

C3.8.1. Issuance Statement for Collections of Information That Do Not Require 

OMB Review and Approval. When an information collection from members of the 

public does not require OMB approval, the reason should be given in the implementing 

Directive, Instruction, or Regulation and this Manual shall be cited as the authority. 

For example:

 

Z. Information Requirements

 

The reports in this directive do not require OMB approval in accordance with C3.8.2.2 

of DoD 8910.1-M (reference ( )).

C3.8.2. Collections of Information That Do Not Require OMB Approval include:

C3.8.2.1. Information Collections Addressed to Nine or Fewer Persons. 

Collections addressed to nine or fewer persons within a 12-month period, do not 

require OMB approval.

C3.8.2.2. Exempt Collections of Information. Exempt collections of 

information are those conducted:

C3.8.2.2.1. During the conduct of Federal criminal investigation or 

prosecution, or during the disposition of a particular criminal matter;

C3.8.2.2.2. During the conduct of a civil action to which the United 

States is a party, or during the conduct of an administrative action, investigation, or 

audit involving an Agency against specific individuals or entities;

C3.8.2.2.3. By compulsory process pursuant to Sections 41 and 1311 of 

Title 15 U.S.C. (references (s) and (t));

C3.8.2.2.4. During the conduct of intelligence activities, or during the 

conduct of cryptologic activities that are communications securities activities; or

C3.8.2.3. Items Generally Not Considered To Be Information. 

Non-information items include:

C3.8.2.3.1. Affidavits, oaths, affirmations, certifications, receipts, 

DoD 8910.1-M, June 1998

41 CHAPTER 3
changes of address, consents, or acknowledgments, provided that they entail no burden 

other than that necessary to identify the respondent, the date, the respondent's address, 

and the nature of the instrument. (By contrast, a certification would likely involve the 

collecting of “information” if it were conducted as a substitute for a collection of 

information, to collect evidence of, or to monitor compliance with regulatory 

standards. Such a certification would generally entail burden in addition to that 

necessary to identify the respondent, date, etc.);

C3.8.2.3.2. Samples of products or of any other physical objects. (This 

category includes requests for information that is already available in a form suitable 

for distribution and is provided in that form to all requesters. However, the request is 

a collection of information if the information has to be compiled.);

C3.8.2.3.3. Facts or opinions obtained through direct observation by an 

employee or agent of the sponsoring Agency or through non-standardized oral 

communication in connection with such direct observations;

C3.8.2.3.4. Facts or opinions submitted in response to general 

solicitations of comments from the public, published in the Federal Register or other 

publications, provided that no person is required to supply specific information 

pertaining to the respondent, other than that necessary for self identification, as a 

condition to the Agency's full consideration of the comment;

C3.8.2.3.5. Facts or opinions, obtained initially or in follow-up requests, 

from individuals (including individuals in control groups) under treatment or clinical 

examination in connection with research on, or prophylaxis to prevent, a clinical 

disorder; direct treatment of that disorder; or the interpretation of biological analyses 

of body fluids, tissues, or other specimens; or the identification or classification of 

such specimens. This includes medical records established as a result of this type of 

action;

C3.8.2.3.6. A request for facts or opinions addressed to a single person;

C3.8.2.3.7. Examinations designed to test the aptitude, abilities, or 

knowledge of the persons tested and the collection of information for identification or 

classification in connection with such examinations;

C3.8.2.3.8. Facts or opinions obtained or solicited at, or in connection 

with, public hearings or meetings;

C3.8.2.3.9. Facts or opinions obtained or solicited through 

DoD 8910.1-M, June 1998

42 CHAPTER 3
non-standardized follow-up questions designed to clarify responses to approved 

collections of information;

C3.8.2.3.10. Like items so designated by OMB. (OMB has the 

authority to determine that a particular activity does not constitute a collection of 

information, provided that the activity is comparable to the nine items described above, 

and that the classification of the activity as not constituting a collection of information 

would not defeat the purpose and intent of the “Paperwork Reduction Act of 1995” 

(reference (m)).);

C3.8.2.3.11. Collections of information from Federal employees within 

the scope of their employment, unless the results are to be used for general statistical 

purposes; or

C3.8.2.3.12. A request for facts or opinions addressed to members of the 

Armed Forces serving on active duty, members of their families, and retired members 

of the Armed Forces, but not their families, when being surveyed within the context of 

reference (r).

C3.9. INFORMATION COLLECTION BUDGET (ICB)

C3.9.1. Submission of Annual ICB. Each Agency’s CIO shall develop and 

submit to OMB in such form, at such time, and in accordance with such procedures as 

OMB may prescribe, an annual comprehensive budget for all collections of 

information to be conducted from the public in the succeeding 12 months.

C3.9.2. ICB Historical Perspective. The ICB is, historically, a projection by 

each Federal Agency of the total number of burden hours it intends to require from the 

public to provide it with information. It is an estimate of the time, direct and indirect, 

necessary for individuals, businesses, and organizations to collect, record, submit, and 

maintain records of information provided to the Federal Government. Federal 

Agencies prepare ICB requests annually in response to specific direction from OMB. 

These requirements normally include an estimate of burden hours for information 

collection activities which an Agency expects to conduct in the immediately 

succeeding fiscal year, as well as a summarization of the preceding and succeeding 

fiscal years’ efforts and plans to reduce the overall burden imposition on the public. 

The sum of all agencies' ICBs is the ICB for the Federal Government.

C3.9.3. Statutorily Directed Reductions. Chapter 35 of Title 44 U.S.C. 

(reference (g)) mandates incremental reductions in the overall DoD burden inventory 

DoD 8910.1-M, June 1998

43 CHAPTER 3
by 10% in each of fiscal years 1996 and 1997, and by 5% in each of fiscal years 1998, 

1999, 2000, and 2001. This reduction will be accomplished in a manner to be 

determined by OMB.

C3.10. PROCEDURES TO LICENSE DOD PUBLIC INFORMATION 

REQUIREMENTS

C3.10.1. Overview.

C3.10.1.1. The request for OMB approval of an information collection from 

the public initially involves the preparation of an OMB Form 83-I, “Paperwork 

Reduction Act Submission” package. Generally, the clearance package is prepared by 

the program office that requires or will utilize the information, in conjunction with the 

Component IMCO. During the preparation of the clearance package, the Program 

Office must publish a 60-day notice in the Federal Register to alert the public that a 

collection of information is being considered, and to invite public comment on the 

proposal. The package is submitted to the DoD Component IMCO who is available to 

assist in preparing the package. The package is then sent to WHS/DIOR for review 

and quality control and finally to OMB for review and approval or disapproval. At 

the same time that the package is sent to OMB for review, the proposed information 

collection is announced in the Federal Register for public comment. This public 

comment period lasts for 30 days. OMB then has 30 additional days to review these 

comments and to approve or disapprove the package. Figure C3.F1 shows the overall 

flow of the approval process and the organizations responsible for the various steps in 

the process.

C3.10.1.2. A clearance package has two major parts plus supporting 

documentation:

C3.10.1.2.1. OMB Form 83-I. This form is the official application that 

an Agency submits to OMB for review of a proposed information collection activity. 

(See figure C3.F2.) It contains essential data which OMB needs to evaluate the 

request;

C3.10.1.2.2. Supporting Statement. This is the Agency's statutory, 

regulatory, and programmatic justification for the information collection activity (See 

figure C3.F4.); and

C3.10.1.2.3. Supporting Documentation. This includes copies of the 

60-day Federal Register Notice (See figure C3.F6.), the instrument of collection (form, 

DoD 8910.1-M, June 1998

44 CHAPTER 3
survey, etc.), relevant portions of prescribing or mandating directives or statutes, etc.

C3.10.1.3. The information clearance package for any collection of 

information contained in a proposed rule is to be submitted to OMB on or before the 

day on which the Notice of Proposed Rule-making (NPRM) is published in the Federal 

Register. A copy of the proposed regulation and preamble is to be included in the 

package. The notice in the preamble to the NPRM is to include both the information 

required in the 60-day and 30-day Federal Register notices. The notice is to direct 

public comments to the OMB reviewer.

C3.10.2. Preparation of the OMB 83-I Package. Block by block instructions for 

completion of the OMB Form 83-I follow. Pay particular attention, however, to the 

requirements as defined in OMB Form 83-I INST, “Instructions for Requesting OMB 

Review Under the Paperwork Reduction Act” (See figure C3.F3.). In some areas, 

they are more comprehensive than these instructions.

C3.10.2.1. Front Page of OMB Form 83-I

Item 1. Show “Department of Defense” first.

Item 2. For revision, extension, or reinstatement of a previously 

approved public information collection use the assigned OMB control number.

 

For a new collection of information the following Agency codes apply to the 

Department of Defense:

 

 0701 - Air Force 

 0702 - Army 

 0703 - Navy 

 0704 - OSD and Other DoD Components 

 0710 - Army Corps of Engineers 

 0720 - Health Care Matters 

 0730 - Defense Finance and Accounting Service

Item 3.

Mark one of the following categories that describes the type of 

information collection request being submitted:

New Collection. Mark “New Collection” when the collection has 

not been previously sponsored by the Agency.

DoD 8910.1-M, June 1998

45 CHAPTER 3
Revision. Mark “Revision” when the collection is currently 

approved, but the proposal makes a substantive change to the collection instrument, 

frequency of collection, the use to which the information collected will be put, or any 

other area that significantly affects the approved burden.

Extension. Mark “Extension” when the collection is currently 

approved, and the Agency wishes only to renew the approval past the current 

expiration date, but for a period not to exceed three years. An extension may make no 

substantive change to the collection or its burden. The “extension” referred to on the 

OMB Form 83-I is not to be confused with an “emergency extension” referred to at 

paragraph C3.11.3.

Reinstatement Without Change. Mark “Reinstatement without 

change” when the collection was previously approved by OMB but that approval has 

expired, and there is no change to the collection.

Reinstatement With Change. Mark “Reinstatement with change” 

when the collection was previously approved by OMB but that approval has expired, 

and there is change to the collection.

Existing Collection. Mark “Existing collection in use without 

OMB control number” when the collection is in use but has not been cleared by OMB.

Item 4.

Regular Submission. Mark “Regular submission” when the 

proposal is being submitted in accordance with Section 10, “Clearance of Collections 

of Information, Other Than Those Contained in Proposed Rules or Current Rules;” 

Section 11, “Clearance of Collections of Information Contained in Proposed Rules;” or 

Section 12, “Clearance of Collections of Information in Current Rules” of 5 CFR 1320 

(reference (c)). These submissions have a standard 60 day review schedule.

Emergency. Mark “Emergency” when the proposal is being 

submitted in accordance with Section 13, “Emergency Processing” of 5 CFR 1320 

(reference (c)). As stated therein, an Agency head or the CIO may request OMB to 

authorize emergency processing of information collection proposals.

In the Department of Defense, the CIO is the ASD(C3I), appointed 

in compliance with reference (h). Any such request must be accompanied by a written 

determination that the collection of information is essential to the mission of the 

DoD 8910.1-M, June 1998

46 CHAPTER 3
Agency, and that the Agency cannot reasonably comply with normal clearance 

procedures because:

(1) Public harm is likely to result if normal clearance 

procedures are followed;

(2) An unanticipated event has occurred; or

(3) The use of normal clearance procedures is likely to 

prevent or disrupt the collection of information, or cause a statutory or court-ordered 

deadline to be missed.

 

NOTE: Insufficient planning or administrative oversight does not warrant the use of 

emergency submission.

Additionally, the Agency must state the time period within which 

OMB should approve or disapprove the proposal, as well as submit information 

indicating that the Agency has taken all possible steps to consult with interested 

Agencies and members of the public to minimize the associated burden.

Unless waived or modified by OMB, the Agency must publish in 

the Federal Register the notice required by Section 5, “Federal Register Notice of 

OMB Review,” of 5 CFR 1320 (reference (c)), which includes a statement that the 

Agency is requesting emergency processing, and the time period within which OMB 

should approve or disapprove the proposal. If OMB approves the collection of 

information, a control number, valid for 180 days, will be assigned.

Delegated. “Delegated” is never marked. DoD does not have 

delegated authority granted by OMB to review and act on proposed collections of 

information.

Item 5.

Mark “Yes” if the collection will have a significant impact on small 

businesses or other small entities. If this item is marked “Yes,” it must be reflected in 

Item 5 of the Supporting Statement.

Item 6.

Do not request more time than is required to complete the collections 

phase of your proposal. A maximum approval period of three years is mandated by 

DoD 8910.1-M, June 1998

47 CHAPTER 3
Chapter 35 of Title 44 U.S.C. (reference (g)).

Item 7.

State the title briefly and concisely.

Item 8.

List all forms, both Department of Defense and Component, that will 

serve as instruments of collection and that will display the OMB control number and 

expiration date.

Item 9.

The Federal Register Thesaurus of Indexing Terms is found in the 

Federal Register (FR), Volume 55, pages 38445-38470 (reference (u)). An example of 

a properly prepared keyword list is: “Foreign Service, Immigration, Travel”, etc. 

The first two keywords must be from this thesaurus. You may add as many more 

keywords as you feel necessary for clarification, but do not exceed two lines of text.

Item 10.

Limit the abstract to no more than 5 lines of text. The abstract should 

identify any statutory requirements that require the collection and address the 

following three questions:

• WHO (in the public) will supply the information?

• WHAT circumstances require the submissions?

• HOW will the Agency use the information?

Item 11.

Mark all categories that apply. Remember to denote the primary public 

with a “P” and others that apply with an “X.”

Item 12.

“Mandatory” applies only when the respondent must reply, or face civil 

or criminal prosecution.

DoD 8910.1-M, June 1998

48 CHAPTER 3
Item 13.

If a respondent is also a recordkeeper, report this as one respondent. 

Total annual hours include both the reporting and recordkeeping burden. Indicate 

whether changes are “+” or “-” where appropriate. Enter whether the difference is an 

adjustment or a program change. These terms are defined in OMB Form 83-I INST 

(See figure C3.F3.).

Item 14.

This item should address operations and maintenance costs, as well as 

capital or start-up costs. Include only capital or start-up costs incurred subsequent to 

October 1, 1995. Do not include in this item the labor costs associated with the 

burden hours identified in Item 13. Indicate whether changes are “+” or “-” where 

appropriate. Enter whether the difference is an adjustment or a program change.

Item 15.

Denote the primary purpose with a “P” and others that apply with “X.”

Item 16.

Mark “X” for all that apply.

a. Mark “Recordkeeping” if a requirement is imposed on persons to 

retain specified records, provide notification of their existence, or report to third 

parties, the Federal Government, or the public regarding such records.

b. Mark “Third Party Disclosure” if a requirement is imposed on 

persons to disclose information directly to the intended beneficiary (e.g., an employee 

of the employer) or the enforcer (e.g., the State of local government), thereby 

eliminating the need for the Federal Agency to collect and process the information 

itself.

c. Mark “Reporting” for information collections that involve reporting 

and check the frequency of reporting that is requested or required of a respondent. If 

the reporting is on “an event” basis, mark “On Occasion.”

Item 17.

DoD 8910.1-M, June 1998

49 CHAPTER 3
Indicate whether the collection of information employs statistical 

methods. If “Yes” is marked, complete Section B of the Supporting Statement.

Item 18.

Enter the name and telephone number of the person who can best 

answer questions about the proposal. Keep in mind that this is the person OMB will 

contact with questions if they decide to call the project officer directly.

C3.10.2.2. Back Page of OMB Form 83-I. NOTE: Enter OMB Control 

Number or Agency Code, and Title, at the top of the back page of the form.

Item 19.a.

The requirement for certification contained in Section 9, “Agency 

Certifications for Proposed Collections of Information” of 5 CFR 1320 (reference (c))

is thoroughly delineated at the end of the instructions for OMB Form 83-I (See figure 

C3.F3.). This item should not be signed by the Agency Contact indicated in Item 18. 

It should be signed by a program official at an authoritative level to ensure the 

signature represents the certification of the submitting component. Signatures “for” 

should be avoided. If there are any provisions of this certification with which the 

sponsoring component cannot comply, they should be identified here, and explained in 

Item 18 of the Supporting Statement.

Item 19.b.

The certification contained in this item will be provided by the Director, 

DIOR.

C3.10.2.3. Estimation of Burden Hours. 5 CFR 1320 (reference (c)) defines 

burden as “the total time, effort, or financial resources expended by persons to 

generate, maintain, retain, or disclose or provide information to or for a Federal 

Agency.”

C3.10.2.3.1. Burden hours are a key element in the preparation of the 

OMB Form 83-I. When developing estimates for burden hours, address the time to 

respond which includes:

C3.10.2.3.1.1. The work hours required to:

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50 CHAPTER 3
C3.10.2.3.1.1.1. Read or hear the instructions;

C3.10.2.3.1.1.2. Develop, modify, construct, monitor, or 

assemble any materials or obtain equipment necessary to collect and report the data; or

C3.10.2.3.1.1.3. Keep records; process, format, record, and 

report the information; and

C3.10.2.3.1.1.4. Manage the collection, recording, and 

reporting of the information.

C3.10.2.3.1.2. Other factors that need to be considered in 

estimating burden hours such as the number of reports, applications, records and/or 

forms produced each year; as well as the number of respondents.

C3.10.2.3.2. Steps necessary to estimate burden hours are as follows:

C3.10.2.3.2.1. Step 1 - Identify the information collection and 

reporting requirements. Include data elements to be reported and the frequency each 

element will be collected;

C3.10.2.3.2.2. Step 2 - Determine the source of the information 

(e.g., personal opinions, monitoring devices, etc.);

C3.10.2.3.2.3. Step 3 - Determine if the information is currently 

being collected, recorded, stored and, if so, in what form;

C3.10.2.3.2.4. Step 4 - Identify previous experience with reporting 

of same or similar information;

C3.10.2.3.2.5. Step 5 - Conduct pretests of the information 

collection and reporting process;

C3.10.2.3.2.6. Step 6 - Conduct informal consultations with a few 

respondents;

C3.10.2.3.2.7. Step 7 - For individual or household surveys, 

conduct trials with office staff;

C3.10.2.3.2.8. Step 8 - Compute burden hour estimates and 

reference the basis for the computations;

DoD 8910.1-M, June 1998

51 CHAPTER 3
C3.10.2.3.2.9. Step 9 - Determine if the total burden is within 

reasonable limits;

C3.10.2.3.2.10. Step 10 - Finalize burden hour estimates and use 

them to prepare information collection requests; and

C3.10.2.3.2.11. Step 11 - Consult with the IMCO for additional 

information, if necessary.

C3.10.2.4. Prepare Supporting Statement. A supporting statement must be 

submitted with each OMB 83-I package. The "Supporting Statement Outline," which 

should be adhered to when completing an OMB 83-I package, is shown as figure 

C3.F4. Each topic being addressed should be identified with the title of the topic in 

the outline; e.g., 1. Need for the Information Collection; 2. Use of Information, etc. 

This aids the OMB desk officer immeasurably in his or her review and approval 

determination. If a topic does not relate to the information collection request, enter 

the title of the topic, state "this section does not apply," and briefly explain why. Do 

not simply enter “Not applicable.” Figure C3.F5. provides an example of a properly 

completed supporting statement.

C3.10.2.5. Federal Register Notices. Chapter 35 of Title 44, U.S.C. 

(reference (g)) requires the publication of two notices in the Federal Register when 

establishing a public information collection.

C3.10.2.5.1. Federal Register Notice 1. (See figure C3.F6.) The first 

notice is published by the originating office at least 60 days in advance of submission 

of the clearance package to OMB for approval. If the information collection is 

contained in a proposed rule, the package shall be forwarded to OMB for review and 

comment no later than the day the NPRM is published in the Federal Register. This 

notice, alerts the public that an information collection is being considered, and invites 

comments regarding certain aspects of the proposal.

C3.10.2.5.2. Federal Register Notice 2. (See figure C3.F7.) The 

second notice, offering a 30-day comment period is published by WHS/DIOR, at the 

time the clearance package is submitted to OMB. It solicits comments on the final 

proposal.

C3.10.3. OMB 83-I Package Process. When the OMB 83-I package has been 

developed, the entire documentation goes through the following steps:

DoD 8910.1-M, June 1998

52 CHAPTER 3
C3.10.3.1. Clear Through Component IMCO. Submit the OMB 83-I 

package (original package and three identical copies) through the IMCO who shall 

conduct a thorough and conscientious review, ensuring that the entire proposal is 

complete and correct. Any errors that are correctable at the IMCO level should be 

accomplished before forwarding the OMB 83-I package to WHS/DIOR.

The OMB Form 83-I and Supporting Statement may be transmitted 

electronically to WHS/DIOR so that review may begin more expeditiously. Hard 

copy submission with original signatures and supporting documentation must follow 

before the proposal can be submitted to OMB.

Additionally, the IMCO shall ensure compliance with the following 

programs:

C3.10.3.1.1. Privacy Act (reference (o)) - OSD Component offices 

coordinate with or forward the OMB 83-I package to WHS, Directorate for 

Correspondence and Directives, Directives and Records Division in accordance with 

DoD 5400.11-R (reference (d)) and DoD Components coordinate with their internal 

privacy office;

C3.10.3.1.2. Postal - If this information collection is used as a mailer, 

follow the procedures in DoD 4525.8-M (reference (v);

C3.10.3.1.3. Data Administration - If the data being collected are used 

in support of DoD operations and decision-making or in an AIS that requires horizontal 

and/or vertical sharing of data, follow the procedures in DoD 8320.1-M (reference (f));

C3.10.3.1.4. Reports Management Program - DoD Internal Information 

Requirements. If this information is also collected from the DoD Components, follow 

the procedures in Chapter C4. of this Manual;

C3.10.3.1.5. Reports Management Program - Interagency Reporting 

Requirements. If this information is also collected from other Federal Agencies, 

follow the procedures in Chapter C5. of this Manual;

C3.10.3.1.6. Forms Management Program. If the instrument of 

collection should be controlled as a form, follow the procedures in DoD 7750.7-M 

(reference (e)); and

C3.10.3.1.7. Other. Items to which you should be particularly attentive 

DoD 8910.1-M, June 1998

53 CHAPTER 3
are:

C3.10.3.1.7.1. Completeness (Original and three identical 

packages).

 

 - OMB Form 83-I 

 - Supporting Statement 

 - Instruments of collection; i.e., form, survey, etc. 

 - Instructions or guidelines 

 - Relevant portions of applicable laws and regulations 

 - Copy of 60-day Federal Register notice 

 - Summary of results of 60-day Federal Register Notice

C3.10.3.1.7.2. OMB Form 83-I entries.

Item Checked For

1 Must show “Department of Defense” first

9 Must have minimum of two keywords from the Federal Register Thesaurus of Indexing Terms (reference 

(u))

13.d Must equal OMB's most current inventory listing

14 Must be clearly and fully documented in the Supporting Statement

C3.10.3.1.7.3. Supporting Statement. Check the justification for 

the information need, use, and existence of duplicative information collections. 

Ensure that the burden hour calculations are fully explained and supported;

C3.10.3.1.7.4. DoD Forms Program. Review the proposed 

information requirement to determine if the instrument of collection should be 

controlled as a form in accordance with DoD 7750.7-M (reference (e)). Ensure that 

forms have provisions for displaying the OMB control number and expiration date in 

the upper right corner, and the Agency Disclosure Notice, as required by 5 CFR 1320 

(reference (c));

C3.10.3.1.7.5. DoD Data Administration Program. DoD 8320.1-M 

(reference (f)) provides procedures for implementing the DoD Data Administration 

Program. It also contains procedures for identifying, standardizing, collecting, 

distributing, using, and disposing of DoD data; and

C3.10.3.1.7.6. Other Factors. Check survey documents for 

consistency with the information requirement and request assistance from survey 

experts on the technical aspects of the survey. Check for overall compliance with 

DoD 8910.1-M, June 1998

54 CHAPTER 3
DoD Instruction 1100.13 (reference (k)), if applicable.

C3.10.3.2. Submission to WHS/DIOR for Review. The DoD Clearance 

Officer reviews all DoD public information collection packages before they are 

submitted to OMB. They are checked for, among other things, completeness of the 

OMB 83-I package, practical utility of the information collected, duplicative reporting 

requirements, and clarity of the explanation of the burden estimates. If there is a 

problem with material submitted, the DoD Clearance Officer will contact the IMCO 

for the office submitting the package and try to resolve the problem. If the problem 

cannot be resolved in this manner, the package will be returned with a written 

explanation.

C3.10.3.3. Submission to OMB

C3.10.3.3.1. OMB Criteria. Depending on the type of information 

collection activity proposed, OMB may review it with varying degrees of depth. 

Typical issues OMB may raise are:

C3.10.3.3.1.1. How often is the reporting requirement form used, 

and is that the minimum frequency required?

C3.10.3.3.1.2. Is the response voluntary?

C3.10.3.3.1.3. How old is the report? Is it still valid?

C3.10.3.3.1.4. Will this information collection trigger the need for 

additional data?

C3.10.3.3.1.5. Is the information collection the result of a 

regulatory or administrative requirement?

C3.10.3.3.1.6. How many burden hours are required to provide the 

information? Is the burden estimate realistic? Is the amount excessive?

C3.10.3.3.1.7. What is the quality of the data collection design?

C3.10.3.3.1.8. Can the information be found elsewhere?

C3.10.3.3.1.9. Is the information really needed, or is it outmoded?

C3.10.3.3.1.10. Is every question or data element really necessary?

DoD 8910.1-M, June 1998

55 CHAPTER 3
C3.10.3.3.1.11. Are the privacy and confidentiality of the 

respondents protected?

C3.10.3.3.1.12. Is the study statistically valid and designed to be 

efficiently administered?

C3.10.3.3.2. Public Access. To enable the public to participate in and 

provide comments during the clearance process, OMB will make its files available for 

public inspection during normal business hours. Requirements to provide materials to 

the public may be modified or waived by OMB to the extent that such public 

participation in the approval process would:

C3.10.3.3.2.1. Defeat the purpose of the collection of information;

C3.10.3.3.2.2. Jeopardize the confidentiality of proprietary, trade 

secret, or other confidential information;

C3.10.3.3.2.3. Violate State or Federal law; or

C3.10.3.3.2.4. Substantially interfere with the Department of 

Defense’s ability to perform its statutory obligations. Accordingly, make sure that any 

material that cannot be disclosed to the public be excluded from the OMB 83-I 

package and advise WHS/DIOR of this when the package is forwarded.

C3.10.3.4. OMB Approval/Disapproval. The 60-day approval period begins 

when OMB receives the OMB 83-I package or when the 30-day Federal Register 

Notice is published, whichever is later. OMB shall either:

C3.10.3.4.1. Approve the OMB 83-I package;

C3.10.3.4.2. Approve it on a conditional basis;

C3.10.3.4.3. Return it for revision;

C3.10.3.4.4. Disapprove it; or

C3.10.3.4.5. Take no action.

 

Note: If OMB does not act within 60 days, the Agency may request and OMB shall 

assign a control number, valid for a period not to exceed one year. If the information 

DoD 8910.1-M, June 1998

56 CHAPTER 3
collection request is approved, OMB assigns an OMB control number, normally valid 

for a period not to exceed three years, and notifies WHS/DIOR.

C3.10.3.5. Approval Notification. WHS/DIOR receives written notification 

from OMB, and forwards this notification to the Component IMCO. The OSD 

Component IMCO distributes the OMB Notification to the action office sponsoring the 

information collection.

C3.10.3.6. Appeal Provisions. If OMB disapproves an information 

collection and the DoD or OSD Component wants to appeal the decision, the 

respective IMCO and WHS/DIOR should be consulted to determine the best course of 

action for the Department of Defense.

C3.11. PROCEDURES TO REVISE OR EXTEND DOD PUBLIC INFORMATION 

REQUIREMENTS

C3.11.1. Major Revisions or Extensions. Major revisions or extensions of over 

three months are accomplished by submission of an OMB 83-I package.

C3.11.2. Minor Revisions. Minor revisions can generally be accomplished 

through submission of an OMB Form 83-C, “Paperwork Reduction Act Change 

Worksheet” (See figure C3.F8.). This form must be coordinated with the IMCO and 

submitted to WHS/DIOR for review and forwarding to OMB. Minor revisions do not 

substantially modify a collection of information. A minor revision would include 

reducing the burden hours, the number of respondents, or the annual reporting or 

recordkeeping costs.

C3.11.3. Extensions. Emergency extensions for a maximum period of 90 days 

may be requested by submission of OMB Form 83-E, “Paperwork Reduction Act 

Emergency Extension” (See figure C3.F9.). Extensions will be considered by OMB 

only if they meet the criteria of an emergency approval as defined in Chapter 35 of 

Title 44 U.S.C. (reference (g)). The use of extensions is strongly discouraged by 

OMB. Insufficient planning or administrative oversight do not warrant using an 

extension.

C3.12. PROCEDURES TO CANCEL DOD PUBLIC INFORMATION 

REQUIREMENTS

DoD and OSD Components may cancel an information collection approved by OMB 

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57 CHAPTER 3
by submission of an OMB Form 83-C through the appropriate IMCO to WHS/DIOR 

requesting that an information collection be canceled. WHS/DIOR will forward the 

request to OMB, and upon notification of OMB cancellation, update the DoD 

information collection inventory, and inform the Component IMCO accordingly. 

Cancellation of information collections within six months of normal expiration of 

OMB approval may be effected through attrition.

C3.13. REQUEST FOR EMERGENCY CLEARANCE

C3.13.1. OMB Criteria. Within the Department of Defense, the CIO may 

request emergency processing of a collection of information under the following 

circumstances:

C3.13.1.1. When the collection of information is needed prior to the 

expiration of time periods established in Chapter 35 of Title 44 U.S.C. (reference (g)),

and is essential to the mission of the Agency; and

C3.13.1.2. When the Agency cannot reasonably comply with the normal 

clearance procedures under Chapter 35 of Title 44 U.S.C. (reference (g)) because:

C3.13.1.2.1. Public harm is reasonably likely to result if normal 

clearance procedures are followed;

C3.13.1.2.2. An unanticipated event has occurred; or

C3.13.1.2.3. The use of normal clearance procedures is reasonably 

likely to prevent or disrupt the collection of information or is reasonably likely to 

cause a statutory or court ordered deadline to be missed.

C3.13.1.3. Public harm would be prevented if, for example, strategies to 

combat a public health epidemic depend on information in a survey that needs to be 

fielded immediately. An example of an unanticipated event would be a natural 

disaster that has led to the need to provide benefits quickly to the victims. The use of 

emergency clearance procedures is warranted if a new statute is passed that requires 

implementation of an information collection within clearly shorter time frames called 

for in Chapter 35 of Title 44 U.S.C. (reference (g)).

C3.13.2. Limited Approval. An OMB approval and the control number assigned 

to collections of information approved under the emergency processing procedures are 

valid for not more than 180 days from the date the Agency requested approval. 

DoD 8910.1-M, June 1998

58 CHAPTER 3
During the 180 day period, a Component has adequate time to prepare a follow-on 

OMB 83-I collection package using the procedures for normal processing.

C3.13.3. OMB 83-I Package. There are distinct, although minor differences in 

processing the OMB 83-I collection package when requesting emergency processing, 

as discussed in paragraph C3.10.2., Item 4, above.

C3.13.4. Advance Planning. Components must plan in advance to avoid 

disrupting ongoing program responsibilities. Lack of planning and administrative 

oversight will not be used to circumvent the time provisions of Chapter 35 of Title 44 

U.S.C. (reference (g)).

C3.14. GENERIC CLEARANCES

C3.14.1. Streamlined Process. OMB has devised the “generic clearance” to 

streamline the clearance process in “Resource Manual for Customer Surveys” 

(reference (q)). A generic clearance is a master plan for conducting one or more data 

collections termed “tasks.” Review occurs in two steps: a full review of the overall 

plan followed by quick review of the actual details of each task.

C3.14.2. Scope. The generic clearance involves advance approval of a 

well-defined class of low-burden data collection. The tasks are not fully defined until 

actually used. An example of this type of clearance would encompass a series of 

customer satisfaction surveys. A generic clearance typically includes a set of 

agreements negotiated between the sponsoring agency and OMB, establishing data 

collection and usage, a burden cap, a periodic reporting requirement to update the 

OMB docket, and a commitment by OMB to review any specific application quickly.

C3.14.3. Requirements. The overall plan must be subjected to the full clearance 

process: plan and 60-day Federal Register notice must provide the public with a basis 

for comment similar to a collection approved under normal clearance procedures. The 

plan must be managed so that there are no controversies that bypass the public 

comment process. Controversies arising at the task stage are not only inconsistent 

with the concept of the generic clearance, they are inconsistent with Chapter 35 of 

Title 44 U.S.C. (reference (g)).

C3.15. INVENTORY OF DOD PUBLIC INFORMATION REQUIREMENTS

C3.15.1. Overview.

DoD 8910.1-M, June 1998

59 CHAPTER 3
C3.15.1.1. WHS/DIOR maintains an inventory of OMB-approved reports, 

which includes data such as the OMB control number, report title, expiration date, 

requesting agency, authority, form numbers, current burden hours, information 

collection budget burden hours, and other data. This data base is used to perform 

workload assessments, to support IRM reviews, and for general reports management 

activities. It is this inventory to which the statutorily mandated reductions discussed 

in paragraph C3.9.3., of this Chapter, will be applied.

C3.15.1.2. OMB maintains an inventory of approved information collections 

that it uses to produce monthly reports such as the “Summary of Active Information 

Collections Approved Under the Paperwork Reduction Act.” DIOR reconciles this 

report with the WHS/DIOR inventory on a monthly basis.

C3.15.2. Relationship to the ICB. The ICB is the fiscal year-end goal of 

minimizing burden hours imposed on the public by the Department of Defense, 

whereas the inventory of OMB-approved information collections reflects the actual 

burden hours currently imposed on the public by the Department. Keeping the 

inventory of information collections up to date is vital to the effective management of 

the program for the Department of Defense.

C3.15.3. Making Changes to the Inventory. Changes to the OMB inventory are 

initiated by submitting an OMB 83-I package, an OMB Form 83-C, “Paperwork 

Reduction Act Change Worksheet,” or an OMB Form 83-E, “Paperwork Reduction 

Act Emergency Extension” through the IMCO to WHS/DIOR. These forms are 

available on the Internet under DefenseLINK, Publications. If there is a question as to 

which form is appropriate for submission in a particular case, contact WHS/DIOR for 

guidance.

C3.15.4. Output Reports

C3.15.4.1. Monthly Report to IMCO. Each month, WHS/DIOR sends a 

report to appropriate IMCOs that provides the latest status of reports control at the 

DoD level. This report includes those collections approved by OMB during the report 

month; collections that expired and were canceled during the report month; and 

collections that will expire during the next six report months.

C3.15.4.2. OMB 55-day Report. Each month, and more frequently if 

requested, WHS/DIOR provides appropriate OMB desk officers with a listing of 

pending proposals that have been under review at OMB for at least 55 days. This 

DoD 8910.1-M, June 1998

60 CHAPTER 3
serves to alert OMB that the mandatory 60-day approval date as defined by the Act is 

imminent.

DoD 8910.1-M, June 1998

61 CHAPTER 3
C3.15.4.3. Special Reports. WHS/DIOR from time to time shall forward 

special reports to advise IMCOs of the status of their OMB information collection 

burden hours versus their OMB hours. These reports are helpful particularly toward 

the end of the fiscal year.

DoD 8910.1-M, June 1998

62 CHAPTER 3
Figure C3.F1. Procedures to License DoD Public Information Requirements

DoD 8910.1-M, June 1998

63 CHAPTER 3
Figure C3.F2. OMB Form 83-I, “Paperwork Reduction Act Submission” Sample

DoD 8910.1-M, June 1998

64 CHAPTER 3
Figure C3.F2. OMB Form 83-I, “Paperwork Reduction Act Submission” Sample, continued

DoD 8910.1-M, June 1998

65 CHAPTER 3
Figure C3.F3. OMB Form 83-I INST, “Instructions for Requesting OMB Review Under the 

Paperwork Reduction Act”

DoD 8910.1-M, June 1998

66 CHAPTER 3
Figure C3.F3. OMB Form 83-I INST, “Instructions for Requesting OMB Review Under the 

Paperwork Reduction Act,” continued

DoD 8910.1-M, June 1998

67 CHAPTER 3
Figure C3.F3. OMB Form 83-I INST, “Instructions for Requesting OMB Review Under the 

Paperwork Reduction Act,” continued

DoD 8910.1-M, June 1998

68 CHAPTER 3
Figure C3.F3. OMB Form 83-I INST, “Instructions for Requesting OMB Review Under the 

Paperwork Reduction Act,” continued

DoD 8910.1-M, June 1998

69 CHAPTER 3
Figure C3.F4. Supporting Statement Outline

 SUPPORTING STATEMENT OUTLINE

 (Refer to Figure C3.F3., OMB83-I INST for greater detail)

A. JUSTIFICATION

 1. Need for the Information Collection

 Describe the information collection activity under review. Explain precisely why 

it is necessary; i.e., why the Department of Defense needs the information required by 

the proposed collection. Identify any legal or administrative requirements that 

mandate the collection, and include the title page and relevant portions thereof in your 

proposal package. Also include a copy of the relevant portions of any other statutes or 

regulation referenced in this supporting statement.

 2. Use of the Information

 Be specific in describing how, by whom, and for what purpose the information is 

to be used. Unless this is a new collection, describe how the information has been 

used in the past.

 3. Use of Information Technology

 Does the information collection involve the use of technological collection 

techniques; e.g., electronic response submission? Describe any consideration given to 

the use of information technology in reducing the respondent burden or why its use is 

not appropriate to the specific collection.

 4. Non-duplication

 Is there information already available which can be used, or modified for use, for 

the purposes of this collection?

 5. Burden on Small Business

 If any of the respondents are small businesses or other small entities, discuss 

efforts taken to minimize the burden imposed by this collection; i.e., developing 

separate or simplified requirements, etc.

DoD 8910.1-M, June 1998

70 CHAPTER 3
Figure C3.F4. Supporting Statement Outline, continued

 6. Less Frequent Collection

 What would be the consequences if the collection were conducted less 

frequently? If there are technical or legal obstacles to reducing the burden in this 

manner, explain.

 7. Paperwork Reduction Act Guidelines

 Explain any special circumstances that require the collection to be conducted in a 

manner inconsistent with the guidelines delineated in 5 CFR 1320.5(d)(2).

 8. Consultation and Public Comments

 a. Identify the date and page number of publication in the Federal Register of the 

Agency’s 60-day notice, required by 5 CFR 1320.8(d), soliciting comments on the 

information collection prior to submission to OMB. Include a summary of any public 

comments received as a result of the 60-day Federal Register Notice, and address 

actions taken in response to those comments. If no comments were received, so state.

 b. Describe efforts made to consult with persons outside the sponsoring Agency 

regarding availability of requested information, frequency of collection, clarity of 

instructions, etc. Consultation with respondents, or their representatives, should occur 

at least every 3 years, even if the information collection does not change. If there are 

circumstances that mitigate against consultation, explain. This item does not refer to 

consultants, per se. Rather, it addresses the act of consulting with others to determine 

continued viability of collection elements, procedures, etc.

 9. Gifts or Payment

 Explain any decision to provide payment or gifts to respondents, other than 

remuneration of contractors or grantees.

 10. Confidentiality

 Describe the extent of confidentiality inherent in the information collection. 

Address such things as protection provided against disclosure of information 

containing personal or organizational identifiers, disposal of completed forms or 

surveys, etc.

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71 CHAPTER 3
Figure C3.F4. Supporting Statement Outline, continued

 Specifically address any assurance of confidentiality provided to respondents. If 

there is a basis for this assurance in statute, regulation, or Agency policy, please 

explain.

 11. Sensitive Questions

 Provide thorough justification for any questions of a sensitive nature, such as 

those pertaining to sexual behavior or attitudes, religious beliefs, race and/or ethnicity, 

or other matters usually considered private. Does the question violate the Privacy Act 

(reference (o)), as implemented by DoD 5400.11-R (reference (d))? What explanation 

of the necessity for collecting this data will be provided the respondents prior to their 

responding?

 12. Respondent Burden, and its Labor Costs

 a. Estimation of Respondent Burden

 Explain how the burden estimate reported in Item 13 of the OMB Form 83-I 

was determined. While not required, consultation with a sample of the potential 

respondents is desirable. Remember, however, that your sample must be of fewer 

than 10 potential respondents or the sample effort itself must be approved by OMB.

 If the collection consists of more than a single instrument of collection; i.e., 

form, survey, questionnaire, etc., provide burden estimates for each instrument, and 

aggregate the total burden in Item 13, of OMB Form 83-I.

 b. Labor Cost of Respondent Burden

 Provide an estimate of annualized cost to respondents of only the burden hours 

imposed by the collection. Do not include capital, start-up, contracting out, or 

operations and maintenance costs. Do not include capital, start-up, or contracting out 

costs in this item. They should be shown in Item 13.

 13. Respondent Costs Other Than Burden Hour Costs

 Provide an estimate of annualized costs to respondents, other than the burden 

hour costs addressed in Item 12, resulting from the collection of information. This 

item expands upon the entries in Item 14 of OMB Form 83-I. Break this item into two 

components:

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72 CHAPTER 3
Figure C3.F4. Supporting Statement Outline, continued

 a. Total capital and start-up costs annualized over the expected useful life of the 

item(s), and

 b. Total operation and maintenance costs. Take into account those costs 

associated with generating, maintaining, and disclosing or providing the information.

 

Note: Capital and start-up costs include the purchase of computers and software; 

testing equipment; and record storage facilities, while O&M costs include such 

activities as contracting out for services and operational expenses, e.g., postage and 

printing. Generally, you need not address these costs if incurred prior to the October 

1, 1995, implementation of Chapter 35 of Title 44 U.S.C.

 14. Cost to the Federal Government

 Annualize the costs incurred by the Federal Government in collecting and 

processing the information collected, and explain the methods used in determining 

these estimates. Include such elements as quantification of hours, operational 

expenses; i.e., equipment, overhead, printing, support staff, postage, contracting out for 

services, etc., and any other expense that would not have been incurred without this 

information collection. These costs, along with those estimated in items 12 and 13, 

may be aggregated in a single table.

 15. Reasons for Change in Burden

 Briefly explain the reason for change in burden, if any, as indicated in Item 13 of 

OMB Form 83-I. Remember that any proposal which starts from a current OMB 

inventory of “0” hours must be a Program Change, e.g., reinstatement of a previously 

approved collection for which approval has expired.

 16. Publication of Results

 If the results of the information collection will be published for statistical use, 

outline plans for tabulation, statistical analyses, and publication. Provide a timeline 

for the entire project including the beginning and ending dates of the actual collecting 

of information, estimated completion date of the report, its publication date, as well as 

any other scheduled actions.

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73 CHAPTER 3
Figure C3.F4. Supporting Statement Outline, continued

 17. Non-Display of OMB Expiration Date

 If you are requesting approval to omit display of the expiration date of OMB 

approval on the instrument of collection, provide justification for this request.

 18. Exceptions to “Certification for Paperwork Reduction Submissions”

 Use this item to explain any provision of Item 19.a of OMB Form 83-I to which 

you cannot certify. You should also have identified these items at the bottom of Item 

19.a. Unless you can demonstrate that these exceptions are necessary to satisfy 

statutory requirements, or other substantial need, OMB will not approve the collection 

of information.

B. COLLECTIONS OF INFORMATION EMPLOYING STATISTICAL METHODS

 If the collection of information employs statistical methods, it should be indicated in 

Item 17 of OMB Form 83-I, and the following information should be provided in this 

Supporting Statement:

 1. Description of the Activity

 Describe the potential respondent universe and any sampling or other method 

used to select respondents. Data on the number of entities covered in the collection 

should be provided in tabular form for the universe as a whole and for each of the 

strata in the proposed sample. Indicate the expected response rates for the collection 

as a whole, as well as the actual response rates achieved during the last collection, if 

previously conducted.

 2. Procedures for the Collection of Information

 Describe any of the following if they are used in the collection of information:

 a. Statistical methodologies for stratification and sample selection;

 b. Estimation procedures;

 c. Degree of accuracy needed for the Purpose discussed in the justification;

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74 CHAPTER 3
Figure C3.F4. Supporting Statement Outline, continued

 d. Unusual problems requiring specialized sampling procedures; and

 e. Use of periodic or cyclical data collections to reduce respondent burden.

 3. Maximization of Response Rates, Non-response, and Reliability

 Discuss methods used to maximize response rates and to deal with instances of 

non-response. Describe any techniques used to ensure the accuracy and reliability of 

responses is adequate for intended purposes. Additionally, if the collection is based 

on sampling, ensure that the data can be generalized to the universe under study. If 

not, provide special justification.

 4. Tests of Procedures

 Describe any tests of procedures or methods to be undertaken. Testing of 

potential respondents (9 or fewer) is encouraged as a means of refining proposed 

collections to reduce respondent burden, as well as to improve the collection 

instrument utility. These tests check for internal consistency and the effectiveness of 

previous similar collection activities.

 5. Statistical Consultation and Information Analysis

 a. Provide names and telephone number of individual(s) consulted on statistical 

aspects of the design.

 b. Provide name and organization of person(s) who will actually collect and 

analyze the collected information.

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75 CHAPTER 3
Figure C3.F5. Supporting Statement - Sample

 SUPPORTING STATEMENT

 Appointment of Chaplains for the Military Services

A. JUSTIFICATION

 1. Need for Information Collection

 Per 32 CFR part 65, in conjunction with 10 U.S.C. 532 and 591, professionally 

qualified clergy persons shall be appointed as chaplains to provide for the free exercise 

of religion for all members of the Military Services, their dependents, and other 

authorized persons. Since World War I, the professional qualifications of clergy have 

been certified by the faith group of which these clergy are members. Department of 

Defense-recognized faith groups are required to endorse clergy as fully qualified to 

serve as chaplains in the Armed Forces. No clergy may become a chaplain without 

endorsement, and loss of endorsement constitutes a loss of professional status. This 

information collection is needed to provide certification that clergy applying for 

chaplaincy in the Armed Forces are qualified members of a faith group recognized by 

the Department of Defense. It also is needed to certify the number of years of 

professional experience for each candidate.

 DoD Directive 1304.19 requires that religious faith groups be officially 

recognized by the Department of Defense to endorse chaplains to the Military 

Services. This information collection is also needed to ensure that religious faith 

groups are appropriately organized and authorized by their constituencies to endorse 

clergy for service as chaplains in the Military Services.

 2. Use of Information

 There are two forms associated with this information collection. The DD Form 

2088, "Certificate of Ecclesiastical Endorsement," is used whenever an ecclesiastical 

endorsing agency submits a clergy person as a candidate to become a chaplain. The 

ecclesiastical endorsing agency sends it to the Military Service that the clergy person 

wishes to join.

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76 CHAPTER 3
Figure C3.F5. Supporting Statement - Sample, continued

 The Military Services are required to obtain a certification of the professional 

qualifications of clergy applying for the chaplaincy. This certification is rendered in 

the form of an ecclesiastical endorsement from the clergy person's religious faith 

group. An ecclesiastical endorsement is an essential part of the application process 

for clergy to become chaplains. The DD Form 2088 is used to certify that a member 

of the clergy is professionally qualified to become a chaplain. It requests information 

about name, address, professional experience, and previous military experience to be 

used in determining grade, date of rank, and eligibility for promotion for appointees to 

the chaplaincies of the Armed Forces. Both the military and the religious faith groups 

insist on ensuring that only professionally qualified clergy serve as chaplains. 

Without this formal process, the chaplaincy would cease to exist as a professional 

corps.

 The DD Form 2741, “Department of Defense Ecclesiastical Endorsing 

Organization Verification/Reverification," information is used by religious faith groups 

seeking DoD recognition as ecclesiastical endorsing organizations for supplying 

chaplains to the Military Services. The information from the DD Form 2741 is 

collected whenever a religious faith group initially seeks recognition by the 

Department of Defense as an ecclesiastical endorsing agency; it is reverified every 3 

years thereafter. The form is sent by the religious faith group to the Armed Forces 

Chaplains Board (AFCB).

 Each religious faith group is required to certify that it is authorized by its 

membership to act as the sole agency certifying and endorsing clergy to serve as 

military chaplains. After initial certification, these organizations are required to 

reverify this information every 3 years. Information from the DD Form 2741 is used 

by the AFCB to determine whether a religious faith group should become (or remain) 

an ecclesiastical endorsing agency, able to endorse clergy for service as chaplains. 

The AFCB regularly supplies the military Chaplain Services with a list of recognized 

ecclesiastical endorsing agencies. The list is used in the chaplain 

recruitment/accession process to validate that candidates for the chaplaincy are 

endorsed by a group recognized by the Department of Defense.

DoD 8910.1-M, June 1998

77 CHAPTER 3
Figure C3.F5. Supporting Statement - Sample, continued

 The DD Form 2741, "Ecclesiastical Endorsing Organization 

Verification/Reverification," is used to request basic demographic information about 

religious denominations seeking to supply clergy persons to the Military Services to 

serve as chaplains. It requests the name of an official authorized to represent the 

organization to the Military Services, and it requires the organization to certify that it is 

authorized by its membership to act as the sole agency for certifying and endorsing 

clergy to serve as military chaplains.

 The information collected from the DD Form 2088 has been used over the past 

several years by the three Military Services to ensure that those clergy who applied to 

become chaplains were professionally qualified and appropriately endorsed by their 

respective religious faith groups.

 3. Improved Information Technology

 Because the Chaplain Services and the ecclesiastical endorsing agencies have not 

previously had widespread access to advanced information technologies, they have not 

been able to utilize electronic means of information collection. However, now that 

advanced technologies are available and widespread, the Chaplain Services are 

prepared to begin transmitting the information using electronic forms technology, 

beginning in October, 1996. Over the next 3 years, we estimate an annual average of 

10% of the respondents will use electronic forms. Since we are not requiring the 

ecclesiastical endorsing agencies to possess the computers and software, we estimate 

that it will take several years to phase in a completely electronic system. Many, but 

not all, of the ecclesiastical endorsing agencies plan to obtain the software as part of 

their customary business and for reasons other than to provide information or to keep 

records for the Government. Until all the civilian agencies obtain the necessary 

software, we will need to continue providing printed forms. Total conversion to 

electronic submissions will ultimately reduce response time and mailing costs.

 4. Efforts to Identify Duplication

 No other Government Agency is responsible for this program. The three military 

chiefs of chaplains do not have any forms or information collection that duplicate the 

information collected. There is no other way to collect this information.

DoD 8910.1-M, June 1998

78 CHAPTER 3
Figure C3.F5. Supporting Statement - Sample, continued

 5. Methods Used to Minimize Burden on Small Entities

 Collection of this information does not have a significant impact on small 

businesses.

 6. Consequences of Not Collecting the Information

 This information is collected only on occasion. If collections were stopped, the 

ability of the Department of Defense to establish eligibility for service as a military 

chaplain would cease to exist.

 7. Special Circumstances

 There are no special circumstances that require this collection to be conducted in 

a manner inconsistent with the guidelines in 5 CFR 1320.5(d)(2).

 8. Agency 60-Day Federal Register Notice and Consultations Outside of the 

Agency

 This information collection was published in the Federal Register on January 26, 

1996, pages 2494-2495. Consultation with the ecclesiastical endorsing agents 

regarding this information collection is done each December at the annual meeting of 

the National Conference on Ministry to the Armed Forces (NCMAF). At the 1995 

conference, the ecclesiastical endorsing agencies attested that they are extremely 

pleased with the use of the DD Form 2088 and the entire endorsing process.

 The DD Form 2741 was created by the Personnel Advisory Group of the Armed 

Forces Chaplains Board, in conjunction with NCMAF, when both groups recognized 

that DoD Directive 1304.19 requires an official process of verification/reverification of 

ecclesiastical endorsing agencies, and that the Department of Defense does not 

presently have a form for the requisite information collection.

 9. Payments to Respondents

 No payment or gift will be provided to the respondents.

DoD 8910.1-M, June 1998

79 CHAPTER 3
Figure C3.F5. Supporting Statement - Sample, continued

 10. Assurance of Confidentiality

 This information becomes a part of the individual's military personnel file and is 

maintained by each Service and protected under the Privacy Act of 1974.

 11. Sensitive Questions

 There are no sensitive questions asked in this information collection.

 12. Estimates of Response Burden and Annual Cost to the Respondent

 a. Respondent Burden:

 (1) DD 2088

Response per respondent: 1

Number of respondents: 650

Hours per Response: 1

Annual Burden 650 hrs.

 (2) DD 2741

Response per respondent: 1 every three years 

Number of responses: 67 (average over three years: 200 respondents divided by 3 years)

Hours per responses: 3

Annual Burden: 201 Hours

 Estimated average annual burden:

Number of Respondents 717

Responses Per 

Respondent

1

 Total Annual 

Responses

717

Avg. Hours Per 

Response:

1.187 (Total annual hrs 851 divided by total annual responses 717 equals average hrs 

per response 1.187)

 Total annual burden: 851 hrs. (Total annual responses 717 x average hrs. per response 1.187 equals annual 

burden 851)

DoD 8910.1-M, June 1998

80 CHAPTER 3
Figure C3.F5. Supporting Statement - Sample, continued

b. Annual Cost to Respondent: Hourly pay for ecclesiastical endorsing agents:

Hourly pay for ecclesiastical endorsing agents: $25.00

DD Form 2088: 650 forms @ one hour per form = $16,250.00

DD Form 2741: 67 forms @ three hours per form = $5,025.00

 _________

Total annual cost to respondent: $21,275.00

 13. Estimates of Cost Burden to the Respondent for Collection of Information

 Estimate of the Total Annual Cost Burden Per Form

 a. Total capital and start-up cost component: There are no start-up costs 

associated with this information collection. Respondents maintain the information for 

reasons other than to provide information or to keep records for the Government. 

Although we are not requiring the civilian agencies to purchase software packages, at 

the most recent meeting of the about 50 ecclesiastical endorsers noted that they have or 

are soon planning to obtain electronic forms software. We will be mailing diskettes of 

our forms to those agencies that have the software.

 b. Total average annual operational and maintenance cost

 (1) Mailing (total forms 717)

DD Form 2088: 650 forms at $ .32 per form = $208.00

DD Form 2741: 67 forms at $ .64 per form = $42.88

7 pages at $.03 per page = $.21 X 67 applications = $14.07

TOTAL ANNUAL O&M COST: $264.95

DoD 8910.1-M, June 1998

81 CHAPTER 3
Figure C3.F5. Supporting Statement - Sample, continued

 14. Estimated Annualized Cost to the Federal Government

a. Printing forms (OSD Printing Office) $50.00

 Diskettes (avg 7 boxes annually @ $5.00 box) $35.00

b. Accessioning officers reviewing and processing the forms - hourly pay $25.00 x 10 minutes 

= $4.16 per form 717 forms @ $4.16 per forms

$2,982.72

c. Mailing 

 645 forms @ 32 cents per form $207.04

 72 diskettes @ 50 cents per diskette $35.00

TOTAL ANNUAL COST: $3,309.76

 15. Changes in Burden

 Program change is due to reinstatement, with change, of an expired information 

collection.

 16. Publication Plans/Time Schedule

 The results for collection of this information will not be published.

 17. Approval Not to Display Expiration Date

 Approval not to display an expiration date is not being sought.

 18. Exceptions to the Certification Statement

 No exceptions to the certification statement are being sought.

DoD 8910.1-M, June 1998

82 CHAPTER 3
Figure C3.F5. Supporting Statement - Sample, continued

B. COLLECTIONS OF INFORMATION EMPLOYING STATISTICAL METHODS

 This collection will not employ statistical methods.

[For collections employing statistical methods, as designated in Block (17) of OMB 

Form 83-I, Section (B) must be addressed.]

DoD 8910.1-M, June 1998

83 CHAPTER 3
Figure C3.F6. Federal Register 60-Day Notice - Sample

 60 DAY FEDERAL REGISTER NOTICE

DEPARTMENT OF DEFENSE

Office of the Secretary

Proposed collection; comment request

AGENCY: Office of the Assistant Secretary of Defense for Health Affairs

ACTION: Notice

In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, 

the Office of the Assistant Secretary of Defense for Health Affairs announces the 

proposed reinstatement of a public information collection and seeks public comment 

on the provisions thereof. Comments are invited on: (a) whether the proposed 

collection of information is necessary for the proper performance of the functions of 

the Agency, including whether the information shall have practical utility; (b) the 

accuracy of the Agency's estimate of the burden of the proposed information 

collection; (c) ways to enhance the quality, utility, and clarity of the information to be 

collected; and (d) ways to minimize the burden of the information collection on 

respondents, including through the use of automated collection techniques or other 

forms of information technology .

 

DATES: Consideration will be given to all comments received by [insert 60 days 

from publication of this notice in the Federal Register]. (Type this entry exactly as 

written. The Federal Register Office will calculate and insert the correct date.) 

 

ADDRESSES: Written comments and recommendations on the proposed 

information collection should be sent to the Office of the Civilian Health and Medical 

Program of the Uniformed Services (OCHAMPUS), Fitzsimons Army Medical Center, 

Office of Appeals and Hearings, ATTN: [Name of Project Officer], Aurora, CO 

80045-6900.

 

FOR FURTHER INFORMATION CONTACT: To request more information on 

this proposed information collection or to obtain a copy of the proposal and associated 

collection instruments, please write to the above address, or call OCHAMPUS, Office 

of Appeals and Hearings, at [Telephone Number].

DoD 8910.1-M, June 1998

84 CHAPTER 3
Figure C3.F6. Federal Register 60-Day Notice - Sample, Continued

TITLE; ASSOCIATED FORM; AND OMB NUMBER: Professional 

Qualifications, Medical and Peer Reviewers; CHAMPUS Form 780; OMB Number 

0720-0005.

 

NEEDS AND USES: The information collection requirement is necessary to obtain 

and record the professional qualifications of medical and peer reviewers utilized within 

CHAMPUS. The form is included as an exhibit in an appeal or hearing case file as 

evidence of the reviewer's professional qualifications to review the medical 

documentation contained in the case file.

AFFECTED PUBLIC: Business or other for profit; Not-for-profit institutions

ANNUAL BURDEN HOURS: 15

NUMBER OF RESPONDENTS: 60

RESPONSES PER RESPONDENT: 1

AVERAGE BURDEN PER RESPONSE: 15 minutes

FREQUENCY: On occasion

DoD 8910.1-M, June 1998

85 CHAPTER 3
Figure C3.F6. Federal Register 60-Day Notice - Sample, Continued

SUPPLEMENTARY INFORMATION:

 Summary of Information Collection

Respondents are medical professionals who provide medical and peer review of cases 

appealed to the Office of Appeals and Hearing, OCHAMPUS. CHAMPUS Form 780 

records the professional qualifications of the medical or peer reviewer. The 

completed form is included as an exhibit in the appeal or hearing case file, and 

documents for anyone reviewing the file, the professional qualifications of the medical 

professional who reviewed the case. If the form is not included in the case file, 

individuals reviewing the file cannot be readily assured of the qualifications of the 

reviewing medical professional. Having qualified professionals provide medical and 

peer review is essential in maintaining the integrity of the appeal and hearing process.

 [Name of Liaison Officer] 

 Alternate OSD Federal Register 

Liaison Officer 

 Department of Defense

DoD 8910.1-M, June 1998

86 CHAPTER 3
Figure C3.F7. Federal Register 30-Day Notice - Sample

 30 DAY FEDERAL REGISTER NOTICE

DEPARTMENT OF DEFENSE

Submission for OMB review; comment request

ACTION: NOTICE

The Department of Defense has submitted to OMB for clearance the following 

proposal for collection of information under the provisions of the Paperwork 

Reduction Act (44 U.S.C. Chapter 35) 

 

TITLE, ASSOCIATED FORM AND OMB NUMBER: Marine Corps Advertising 

Awareness and Attitude Tracking Study, [If Applicable, Include Form Number], OMB 

Number 0704-0155. 

 

TYPE OF REQUEST: Revision

NUMBER OF RESPONDENTS: 1,400

RESPONSES PER RESPONDENT: 2

ANNUAL RESPONSES: 2,800

AVERAGE BURDEN PER RESPONSE: 21 minutes

ANNUAL BURDEN HOURS: 980

NEEDS AND USES: This collection of information will be used by the Marine 

Corps to gauge the effectiveness of current advertising campaigns. The study also 

serves as an important planning tool in shaping the strategy for future advertising 

efforts. Questions are posed to sixteen to nineteen year old males and females to 

determine their awareness of Marine Corps advertising.

AFFECTED PUBLIC: Individuals or households

FREQUENCY: Semi-Annually

RESPONDENT'S OBLIGATION: Voluntary

DoD 8910.1-M, June 1998

87 CHAPTER 3
Figure C3.F7. Federal Register 30-Day Notice - Sample

OMB DESK OFFICER: [Name of Desk Officer]

Written comments and recommendations on the proposed information collection 

should be sent to [Name] at the Office of Management and Budget, Desk Officer for 

DoD, Room 10236, New Executive Office Building, Washington, DC 20503.

DOD CLEARANCE OFFICER: [Name of Clearance Officer]

Written requests for copies of the information collection proposal should be sent to 

[Name], WHS/DIOR, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 

22202-4302.

 [Name of Liaison Officer] 

 Alternate OSD Federal Register 

Liaison Officer 

 Department of Defense

DoD 8910.1-M, June 1998

88 CHAPTER 3
Figure C3.F8. OMB 83-C, “Paperwork Reduction Act Change Worksheet” - Sample

DoD 8910.1-M, June 1998

89 CHAPTER 3
Figure C3.F9. OMB 83-E, “Paperwork Reduction Act Emergency Extension” - Sample

DoD 8910.1-M, June 1998

90 CHAPTER 3
C4. CHAPTER 4

DOD INTERNAL INFORMATION REQUIREMENTS

C4.1. PURPOSE

The purpose of this chapter is to provide the necessary information for OSD 

Components to develop, review, revise, obtain approval and cancel their DoD internal 

information requirements. The specific procedures for DoD Components other than 

OSD are contained in their own supplemental prescribing regulations and instructions.

C4.2. SCOPE

This chapter documents the procedures for reviewing and licensing DoD internal 

information requirements imposed by OSD on the DoD Components under the 

authority of DoD Directive 8910.1 (reference (b)). It also covers the procedures for 

reviewing and licensing DoD internal information requirements imposed by the DoD 

Components on their subordinate commands to the extent that:

C4.2.1. Exemptions are specified in C4.4., below;

C4.2.2. Their internal implementing instructions and regulations are 

cross-referenced in the Manual; and

C4.2.3. Their internal indexes and/or listings of internal information 

requirements are also referenced.

C4.3. DEFINITIONS

C4.3.1. DoD Component Internal Information Requirements. For the purposes 

of this Manual, DoD internal information requirements are those information 

requirements that are internal to a particular DoD Component and licensed by that 

Component. Examples of these would be OSD internal, Army internal, Air Force 

internal, Navy internal, DLA internal, etc., and are referred to collectively as "DoD 

Internal Information Requirements."

C4.3.2. DoD Internal Information Requirement. The functional area expression 

of need for data, information, or reports to carry out specified and authorized functions 

DoD 8910.1-M, June 1998

91 CHAPTER 4
or management purposes, and that call for the establishment or maintenance of data, 

information, reporting or recordkeeping systems whether manual or automated within 

the Department of Defense.

C4.3.3. General Purpose Statistics. Statistics collected primarily for public and 

general Government use, without primary reference to policy or program operations of 

the Agency collecting the information. Agencies should conduct statistical surveys 

that are designed to produce results that can be generalized to the universe of the study.

C4.3.4. Internal Report. A report is data or information that is systematically 

collected and formatted by one or more organizational components and transmitted to 

another organizational component to meet an authorized and formally specified 

management information requirement. A report is frequently one output of a 

management information system.

C4.3.5. Internal Reporting. The process by which data or information for a 

report is collected, organized, transmitted, and retained within an organization.

C4.3.6. Management Information. Management information is data or 

information needed for use in determining policy; planning, controlling, and evaluating 

operations and performance; making administrative determinations; or preparing other 

reports. The data or information may be in narrative, statistical, graphic or other form 

and may be displayed on paper documents, magnetic tapes, terminal responses, or in 

other forms.

C4.3.7. Operating Document. A collection of information used to facilitate, 

accomplish, or provide a description or record of a transaction, function, or event. 

The information in an operating document may provide data (or input) for a report, but 

that is not its primary purpose. Examples are application forms, purchase orders, bills 

of lading, personnel actions, payrolls and time sheets, inspection or audit reports, and 

reports that involve direct command and control of military forces or cryptologic 

activities related to national security.

C4.3.8. Report Control Symbol (RCS). A standard Agency designation of a 

report consisting of letters and/or numbers. It indicates that the report has been 

reviewed and approved by a reports control office. OSD internal information 

requirements are symbolized with an RCS assigned by WHS/DIOR. DoD 

Components, other than OSD, symbolize their own internal information requirements.

C4.3.9. Reports Management Function. This function includes the reports, 

DoD 8910.1-M, June 1998

92 CHAPTER 4
forms, surveys, magnetic tapes, disks, and other media of internal agency systems or 

procedures as well as the reporting systems themselves. The reports management 

function is primarily concerned with public, interagency, DoD internal, and 

Congressional information requirements.

C4.4. EXEMPTIONS

The following types of DoD internal information requirements are exempt from the 

review and approval procedures of this Manual (unless specifically excluded from the 

overall exemption):

C4.4.1. Substantive intelligence reporting;

C4.4.2. Operating documents and information or documentation processed 

and/or transmitted within an operational system. Examples of operating documents 

include requisitions, material release orders, supply status notices, back order release 

notices, etc. However, summary and statistical reporting and other evaluation outputs 

of reports transmitted to higher levels, such as an “Aged Requisition Report,” are not 

exempt.

C4.4.3. Report of findings, recommendations, or actions prepared by an official 

committee, board, focus group, study group, or task force;

C4.4.4. Comments or concurrence that are a part of the routine clearance of 

proposed actions or publications; recommendations or evaluations as to existing or 

proposed plans, policies, procedures, organizations, missions, publications, agenda, 

curricula or courses of action;

C4.4.5. Public information releases as covered by DoD Directive 5230.9 

(reference a));

C4.4.6. Accounting system source documents and output reports justified during 

the accounting system concept and detail design phases of development as prescribed 

in DoD 7000.14-R (reference (w)). Therefore, the documents and reports shall 

become an integral part of the accounting system and need not be individually justified 

or assigned DoD Internal Report Control Symbols;

C4.4.7. Reports of audit, internal review, investigation of charges, a complaint, a 

claim or a violation of law or regulation. Reports of internal reviews when the review 

is imposed by a higher-level command are not exempt.

DoD 8910.1-M, June 1998

93 CHAPTER 4
C4.4.8. Counterintelligence, personnel security, and other investigative surveys 

and reports as covered by:

C4.4.8.1. DoD Directive 5200.26, “Defense Investigative Program” 

(reference (x));

C4.4.8.2. DoD Directive 5200.27, “Acquisition of Information Concerning 

Persons and Organizations Not Affiliated with the Department of Defense” (reference 

(y));

C4.4.9. Reports of individuals such as savings bond participation, conflict of 

interest statements, financial disclosure statements, nominations or recommendations 

for awards, medical and dental documents, and the like;

C4.4.10. Facts or opinions, obtained initially or in follow-up requests, from 

individuals (including individuals in control groups) under treatment or clinical 

examination in connection with research on, or prophylaxis to prevent, a clinical 

disorder; direct treatment of that disorder; or the interpretation of biological analyses 

of body fluids, tissues, or other specimens; or the identification or classification of 

such specimens. This includes medical records established as a result of this type of 

action; and

C4.4.11. Routine requests for cost estimates related to a specific information 

requirement.

 

Note: When one of the foregoing exemptions is used in an implementing directive, 

instruction, or publication, the appropriate chapter and paragraph of this Manual 

should be cited as an authority for the exemption. For example, the appropriate entry 

in a DoD Instruction would read as follows:

 

Z. INFORMATION REQUIREMENTS

 

The information requirement contained in this Instruction is exempt from licensing in 

accordance with Chapter C4., paragraph C4.4., of DoD 8910.1-M (reference ( )).

C4.5. DoD COMPONENT PROCEDURES

C4.5.1. Licensing Internal Information Requirements. DoD Components, other 

than OSD, have their own internal procedures for the management and control of 

DoD 8910.1-M, June 1998

94 CHAPTER 4
internal information requirements. They are, with the exception of the intelligence 

agencies, as follows: 

DoD 

Component

Publication Title

Army AR 335-15 Management Information Control System

Air Force AFI 33-324 Management and Control of Information Reports Requirements 

DARPA No Reports No Reports

DISA DISAI 630-225-2 Information Services - Information Requirements Management 

DCAA DCAAR 8910.1 Management and Control of Information Requirements and Reports 

Management

DSS DDS 08-6-R Reports Management Program

DLA DLAD 8910.1 Management and Control of DLA Information Requirements

DSAA DoD 5105.38-M DSAA Security Assistance Management Manual

DSWA DSWA Inst 

5000.19B

Policies for the Management and Control of DSWA Information 

Requirements

JCS AI 3000/0.06I Management and Control of Joint Staff Information

Navy SECNAV 5214.2B Department of the Navy Information Requirements Management Program

NIMA NIMA INST 

5000.19A

Policies for the Management and Control of NIMA Information 

Requirements (Reports Control)

C4.5.2. Indexes of Internal Information Requirements. DoD Components, other 

than OSD, generally have their own indexes or listings of their approved internal 

information requirements. They are, with the exception of the intelligence agencies, 

as follows:

DoD Component Publication Title

Army DA PAM 25-69 List of Approved Recurring Management Information Requirements 

Air Force AFCAT 37-140 Index of Headquarters USAF Controlled Reports

DARPA N/A N/A

DISA DISAN Register of Approved Recurring Information Requirements

DCAA DCAAI 7750.2 Index of Approved Information and Reporting Requirements

DSS DSS 08-6-R Reports Management Program

DLA N/A N/A

DSAA DoD 5105.38-M DSAA Security Assistance Management Manual

DSWA COMP-1 Register of Approved Recurring Reports

JCS AI 3000/0.06I Enclosures to the Administrative Instruction 

Navy N/A N/A

NIMA NIMAL 5000.19 List of NIMA Recurring Reports

C4.6. OSD PROCEDURES FOR LICENSING DoD INTERNAL INFORMATION 

REQUIREMENTS

DoD 8910.1-M, June 1998

95 CHAPTER 4
C4.6.1. General. If the office requesting the information is a DoD or OSD 

Component, Defense Agency, or a DoD Field Activity and they are imposing an 

information requirement on one or more DoD Components other than their own 

Component, then the requiring office, unless exempt, shall obtain a Report Control 

Symbol (RCS) from WHS/DIOR. Figure C4.F1. shows the overall flow of the 

approval process and the organizations responsible for the various steps in the process.

C4.6.1.1. This involves the preparation of an SD Form 455, "Request for 

Approval of Information Collection," and a cost estimate using Optional Form (OF) 

101, "Summary Worksheet for Estimating Reporting Costs." Figure C4.F2. is an 

example of a properly completed SD Form 455. Chapter C7. of this Manual provides 

guidance and examples for preparing the OF 101. The completed SD Form 455 and 

OF 101 are then coordinated with the responding DoD Components, processed through 

the IMCO, and submitted with the prescribing issuance to WHS/DIOR for approval.

C4.6.1.2. Additional documentation required includes a justification 

statement, a copy of the correspondence or legislation imposing the information 

requirement, the survey instrument review memorandum obtained from 

OUSD(P&R)/Defense Manpower Data Center (DMDC) and the approved survey 

instrument, when applicable.

C4.6.1.3. If problems are expected with documenting the proposed 

information requirement (e.g., high cost, Privacy Act, complex requirement, survey or 

form, etc.) the requiring office should contact the OSD Component IMCO before 

initiating the licensing process. The IMCO may recommend that the office conduct 

initial discussions with WHS/DIOR to facilitate the approval process.

C4.6.2. Coverage. The procedures in this subsection apply only to the OSD 

Components.

C4.6.2.1. Special Requirements. On an individual case-by-case basis, 

special one-time, high priority, or time-urgent requirements may be approved and 

symbolized without being subjected to an in-depth review and analysis, provided a 

statement of urgency is included with the SD Form 455 and signed at an appropriate 

level commensurate with the estimated cost of providing the information. An 

expiration date of short duration will be assigned until the required additional 

documentation is completed and submitted to WHS/DIOR.

C4.6.2.2. Prepare OF 101, “Summary Worksheet for Estimating Reporting 

DoD 8910.1-M, June 1998

96 CHAPTER 4
Costs.” A cost estimate, prepared in accordance with the guidance provided in 

Chapter C7. of this Manual, is required for every new or substantially changed 

information requirement.

C4.6.2.2.1. Reference (i) requires that cost estimates for Agency 

internal information requirements be done the same way as reporting cost estimates for 

interagency information requirements.

C4.6.2.2.2. Revised cost estimates, excluding all initial one-time costs, 

are required for the first extension or reinstatement following initial licensing.

C4.6.2.2.3. New cost estimates shall also be prepared when the cost 

and/or scope of collecting the information changes substantially. Examples of 

substantial changes are provided at paragraph C4.7.1., below. Cost estimates may be 

prepared on plain bond paper in lieu of the OF 101 or may be submitted in an existing 

format when the cost data can be provided as required in block 5., “Estimated Cost of 

the Requirement” of SD Form 455.

C4.6.2.3. Prepare SD Form 455, "Request for Approval of Information 

Collection. ” The instructions for preparing an SD Form 455 are provided on the 

back of the form (see Figure C4.F3.) and are as follows:

Item 1. From (DoD organization name, directorate, and mailing 

address). Self-explanatory.

Item 2. Date of Request. Self-explanatory.

Item 3. Information Requirement Data.

 3a. Provide the title of the report, information system, 

recordkeeping requirement, data base, etc., as it appears in the prescribing issuance or 

memorandum. With regard to surveys, avoid using the year in the title since surveys 

generally take more than one year to complete unless the survey is specific to that year 

only.

 3b. Mark the appropriate box to indicate whether the request is 

for a new RCS or for a revision to an existing RCS.

 3c. When the request is to revise an existing RCS, indicate the 

current RCS.

DoD 8910.1-M, June 1998

97 CHAPTER 4
 3d. Provide the reporting frequency of the information 

requirement using the following frequency codes:

A - Annually 

AR - As Required

BI - Biennially

BM - Bimonthly

BW - Biweekly

D - Daily 

M - Monthly

OT - One Time

Q - Quarterly 

QD - Quadrennially

QI - Quintennially

SA - Semiannually

TRA - Thrice Yearly

TRI - Triennially

W - Weekly

 3e. For new RCSs enter the date the project officer is expected to 

implement the reporting requirement. Leave blank for extension or reinstatement of 

existing RCSs.

 3f. Cite existing related RCSs.

 3g. Provide the form number(s) to be used when completing this 

requirement, if applicable. The form(s) should also be reviewed at this time for 

currency.

 3h. If the information requested requires a Privacy Act 

Statement, provide the System of Records Number (Check with WHS/C&D/Directives 

and Records Division).

 3i. If the instrument of collection is a survey enter “Y” and attach 

a copy of the questionnaire. If this is an attitude/opinion survey, indicate DMDC 

coordination in block 7a, attach a copy of the review memorandum received from 

DMDC and the questionnaire. Otherwise, enter “N.”

Item 4. Applicable Documents.

 4a(1). If the information requirement originates within the 

DoD 8910.1-M, June 1998

98 CHAPTER 4
Department of Defense, cite the existing or proposed DoD Directive or Instruction 

prescribing the information requirement.

 4b(1). If the information requirement is required by law, cite the 

law or statute (i.e., Section 9999 of Public Law 104-13, Title 10 USC 2678, 103 Stat. 

9999, 41 CFR Part 101-11).

 4c(1). If the information requirement originates in another 

Federal Agency, provide the Agency and prescribing Regulation, Directive (i.e., 

Treasury Department Regulation xxx).

 4d(1). If the information requirement originates in a non-DoD 

source (i.e. such as Congressional requests not incorporated in Federal statutes, 

requests from State Governments, etc.) cite the document.

 4a(2) - 4e(2). List all existing DoD Directives, Instructions, 

Manuals, memoranda, forms, etc., or non-DoD publications to be superseded that 

contain references to the information requirement.

Item 5. Estimated Cost of the Information Requirement (see Chapter 

C7. of this Manual). If the estimated cost exceeds $1 Million the SD Form 455 shall 

be signed at the Deputy Assistant Secretary level requiring the information. 

Unrealistic, uneven or unsubstantiated respondent cost estimates may cause the 

submission to be returned without action.

 5a. Enter applicable DoD Component (OSD, Army, Navy, Air 

Force, DMDC, etc.).

 5b. Provide the costs to set-up the information collection cycle 

(include cost of personnel, ADP machine time, if applicable, supplies, etc.) from Block 

5(f) of the Optional Form (OF) 101.

 5c - 5e. Obtain the cost of each report, to include personnel costs 

(hours worked times average cost per work hour), ADP machine time, if applicable, 

supplies used, etc., from Block 9(f) of OF 101. Multiply the cost per report times the 

number of reports in a year to obtain the total cost per year.

 5f. Total the initial one-time cost and the annual recurring cost 

and place the results in this block.

Item 6. Justification of Specific Need for this Information 

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Requirement. Provide a concise but complete justification for the requirement. If 

additional space is needed, attach a continuation sheet. Include an explanation or 

discussion of:

 a. Specific need for the information requirement and resulting 

benefits in light of projected costs;

 b. Risks or penalties associated with not having the information 

available;

 c. The results of examining other sources of information 

currently available and why such information cannot satisfy the requirement;

 d. Less costly alternatives considered for satisfying the 

requirement and why each was not chosen;

 e. How the information is to be used by the recipients; and

 f. How the need and use warrant the frequency requested. If 

additional space is needed, attach a continuation sheet.

Item 7. Coordination. Coordination is not required if this information 

collection is contained in an approved DoD issuance. Otherwise, provide the name, 

organization and telephone number of each responding DoD Component concurring 

with the information requirement.

 

NOTE: Concurrence by all responding DoD Components is required before 

approval. Where concurrence cannot be obtained, the requiring office will request 

that the Component concerned provide a statement of the reasons for the 

non-concurrence and attach it to the SD Form 455. OUSD(P&R)/DMDC 

coordination is required for attitude/opinion surveys only.

Item 8. Project Officer. Self-explanatory.

Item 9. Requesting Organization Approving Official. The SD Form 

455 should be signed by the head or principal director of the requesting office. If the 

estimated cost exceeds $1 Million the SD Form 455 shall be signed at the Deputy 

Assistant Secretary level requiring the information.

Item 10. Information Management Control Officer. The completed 

SD Form 455 will be reviewed and coordinated on by the originating Component's 

DoD 8910.1-M, June 1998

100 CHAPTER 4
IMCO. The IMCO is responsible for reviewing the request to ensure that the 

information requirement is valid, not a duplicate, properly coordinated and authorized. 

SD 455 packages not coordinated with the OSD Component IMCO will be returned.

Item 11. For use by WHS/DIOR. Self-explanatory.

C4.6.2.4. Coordination.

C4.6.2.4.1. Clear Through DoD Component Information Management 

Control Officer. The IMCO is considered to be the most knowledgeable person in an 

organization concerning the review and approval of information requirements and can 

save the project officer considerable time and effort. Coordination with the IMCO 

early in the documentation process is encouraged and recommended. Submit the 

original SD Form 455 package through the IMCO who will review it for completeness, 

duplication, proper coordination, and compliance with WHS/DIOR requirements 

agreed to during any initial discussions. In addition, the IMCO will ensure 

compliance with the following programs:

C4.6.2.4.1.1. Privacy Act (reference (o)) - If the information 

requirement requires the provision of personal information, coordinate the SD 455 

package with WHS, Directorate for Correspondence and Directives, Directives and 

Records Division for a determination on compliance with DoD 5400.11-R (reference 

d));

C4.6.2.4.1.2. Postal - If the instrument of collection is a mailer, 

follow the procedures in DoD 4525.8-M (reference (v));

C4.6.2.4.1.3. Data Administration - If the data being collected are 

used to support DoD operations and decision-making or in an AIS that requires 

horizontal and/or vertical sharing of data, follow the procedures in DoD 8320.1-M 

(reference (f));

C4.6.2.4.1.4. Reports Management Program (Public Information 

Collections) - If this information is also collected from members of the public, follow 

the procedures in Chapter C3. of this Manual;

C4.6.2.4.1.5. Reports Management Program (Interagency 

Reporting Requirements) - If this information is also collected from other Federal 

Agencies, follow the procedures in Chapter C5. of this Manual;

C4.6.2.4.1.6. Forms Management Program - If the instrument of 

DoD 8910.1-M, June 1998

101 CHAPTER 4
collection should be controlled as a form, follow the procedures in DoD 7750.7-M 

(reference (e));

C4.6.2.4.2. Respondents. A proposed information requirement must be 

coordinated with the responding DoD Component(s). This can be done through the 

formal coordination of the prescribing issuance or coordination of the formal 

correspondence imposing the information requirement. Cost estimates may be 

obtained from the respondents before, during, or after coordination. An RCS is not 

required to obtain cost estimates from the DoD Components.

C4.6.2.5. Submission to WHS/DIOR.

C4.6.2.5.1. Reports Management Criteria. The DoD Internal Reports 

Manager reviews all requests for approval of information collections and the 

supporting documentation. The specific items checked are:

C4.6.2.5.1.1. Original signed SD Form 455;

C4.6.2.5.1.2. Signature level is commensurate with the cost of 

collecting the information;

C4.6.2.5.1.3. SD Form 455 is complete;

C4.6.2.5.1.4. Justification is adequate;

C4.6.2.5.1.5. Costing is adequate;

C4.6.2.5.1.6. Coordination with respondents is appropriate;

C4.6.2.5.1.7. Coordination with applicable functional areas 

obtained (i.e., Defense Privacy Office, Component Data Administration, Forms 

Management, survey approval);

C4.6.2.5.1.8. Information requirement is not a duplicate;

C4.6.2.5.1.9. Consistent with mission/charter of submitting office;

C4.6.2.5.1.10. Information requested is in line with stated need;

C4.6.2.5.1.11. Request is reasonable; and

C4.6.2.5.1.12. Request is consistent with statutory and regulatory 

DoD 8910.1-M, June 1998

102 CHAPTER 4
authority. 

 

NOTE: If there is a problem with the documentation submitted, the DoD Internal 

Reports Manager will contact the OSD Component IMCO submitting the package and 

try to resolve the problem informally. If the problem cannot be resolved by informal 

means, the submission will be returned with a written explanation.

C4.6.2.5.2. Privacy Act (reference (o)). WHS/DIOR reviews the 

proposed information collection for compliance with the Department of Defense 

Privacy Program. A description of the criteria and rules can be found in DoD 

5400.11-R (reference (d)).

C4.6.2.5.3. DoD Forms Management Program. When applicable, 

WHS/DIOR reviews the proposed information requirement to determine if the 

instrument of collection should be controlled as a form in accordance with DoD 

7750.7-M (reference (e)).

C4.6.2.5.4. DoD Data Administration Program. DoD 8320.1-M 

(reference (f)) provides procedures for implementing the DoD Data Administration 

Program. It also contains procedures for identifying, standardizing, collecting, 

distributing, using, and disposing of DoD data.

C4.6.2.5.5. Survey Instrument Approval. All personnel attitude and 

opinion survey instruments, regardless of format, shall be submitted through the 

OUSD(P&R) to the Defense Manpower Data Center (DMDC) for review and approval 

in accordance with DoD Instruction 1100.13 (reference (k)). DMDC should be 

contacted early in the process to ensure that survey instruments are designed, 

developed, and administered in such a way as to ensure optimum results.

C4.6.2.6. Approval/Disapproval. If the proposed information requirement is 

approved, WHS/DIOR will assign an RCS, notify the appropriate IMCO by electronic 

mail message or formal memorandum and enter the approved DoD internal information 

requirement into the inventory. If disapproved, WHS/DIOR will return the 

submission with an explanation of the reason(s) the request was disapproved.

C4.6.2.7. Appeal Provisions. If the requiring office is not satisfied with the 

reason(s) for disapproval of the proposed information requirement, the decision can be 

appealed through proper channels. If the denial cannot be resolved through proper 

channels and a legal interpretation is required, the Office of the General Counsel, 

WHS, shall render an opinion.

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C4.7. OSD PROCEDURES TO REVISE DOD INTERNAL REQUIREMENTS

C4.7.1. Substantial Changes. If an information requirement has changed 

substantially, a new cost estimate (OF 101) must be prepared and submitted with a 

new SD Form 455. Substantial changes may involve, for example:

C4.7.1.1. Organizational reassignment of the program;

C4.7.1.2. Title of information requirement;

C4.7.1.3. Increase in cost greater than 10% for respondents to provide the 

requested information;

C4.7.1.4. Number of Respondents;

C4.7.1.5. Content of collection; and

C4.7.1.6. Other substantial changes.

 

NOTE: Substantial changes may require modification of the prescribing issuance. If 

this occurs, the modified prescribing issuance must be submitted with the revised SD 

Form 455.

C4.7.2. Minor Changes. If an SD Form 455 requires minor changes, they can be 

accepted by telephone or electronic mail by the DoD Internal Reports Manager or by 

correspondence to WHS/DIOR. All changes, whether substantial or minor, should be 

coordinated with the Component IMCO.

C4.8. OSD PROCEDURES TO CANCEL AN EXISTING DOD INTERNAL 

INFORMATION REQUIREMENT

The requiring office may cancel an information requirement over the telephone by 

identifying the RCS and the reason for the cancellation. Memoranda for the record or 

electronic mail messages are preferred but not necessary.

C4.8.1. IMCOs should cancel information requirements as soon as the requiring 

office determines that the RCS is no longer needed.

C4.8.2. IMCOs should cancel or reinstate expired information requirements 

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within 90 days of expiration. Expired collections should be minimized.

C4.8.3. If an RCS has expired, the respondents are not required to supply the 

requested information. However, as a practical matter, respondents may provide the 

requested information but notify the Component IMCO.

C4.9. OSD INFORMATION REQUIREMENT REVIEWS

C4.9.1. User Responsibilities. It is the responsibility of the OSD Component 

requiring office to ensure that information requirements imposed on the DoD 

Components are valid and essential to the mission of the OSD Component. In 

addition, OSD Components are to ensure that:

C4.9.1.1. Information requirements are not duplicated;

C4.9.1.2. Reporting workload is minimized through the use of sampling or 

information technology resources;

C4.9.1.3. Information needs are clearly identified; and

C4.9.1.4. Automated system resources are cost-effectively applied.

C4.9.2. Scheduled Review Cycles.

C4.9.2.1. Expiration Dates.

C4.9.2.1.1. Recurring DoD internal information requirements will be 

assigned expiration dates no longer than three years from the date of approval by 

WHS/DIOR. These requirements will be reviewed on an individual basis when the 

expiration date is imminent. At that time, the RCS should be extended by the 

submission of a new SD Form 455 or canceled.

C4.9.2.1.2. One-time information requirements and surveys will be 

licensed for a period not to exceed one year, unless otherwise specified. One-time 

information requirements and surveys will be canceled upon expiration unless 

extended by the project officer through the OSD Component IMCO.

C4.9.2.2. Annual Reviews. OASD(C3I) establishes annual report reduction 

goals for each fiscal year. OSD Component IMCOs should review their information 

requirements and coordinate with affected project offices to take action to cancel 

DoD 8910.1-M, June 1998

105 CHAPTER 4
unnecessary active and expired information requirements to meet the goal by the end 

of the fiscal year.

C4.9.2.3. Reviews of One-time Reports. WHS/DIOR will, from 

time-to-time, review the status of information requirements licensed with a frequency 

of one-time in order to control the number of expired one-time requirements that have 

been completed, but not canceled from the inventory. WHS/DIOR will notify the 

OSD Component IMCO by memorandum or electronic mail message documenting the 

expired RCS, report title, and the expiration date and request that the RCS be canceled 

in accordance with the procedures set forth in C4.8., of this Manual. WHS/DIOR will 

continue to notify the OSD Component IMCO, as necessary, to ensure that action is 

taken to either reinstate or cancel the expired RCS.

C4.9.2.4. Reviews of Surveys. Customer satisfaction and statistical analysis 

surveys are subject to the same reviews afforded one-time and recurring information 

requirements. OSD Component IMCOs, in coordination with the requiring project 

officer, should take the appropriate action necessary to extend or cancel these 

requirements either prior to the expiration date of the RCS or when the requirement 

has been completed.

C4.9.2.5. Reviews of DoD Issuances. When a recurring information 

requirement has been approved and symbolized an appropriate statement to that effect 

shall appear in the prescribing issuance or publication. For example, the appropriate 

section in an Instruction would read as follows: 

 

Z. INFORMATION REQUIREMENTS

 

The information requirement contained in this Instruction has been assigned Report 

Control Symbol DD-XXX(X)9999, in accordance with DoD 8910.1-M (reference ( )).

C4.10. DoD INTERNAL INFORMATION REQUIREMENT INVENTORY

C4.10.1. Overview. WHS/DIOR maintains an inventory of DoD internal 

information requirements that includes the report control symbol, report title, requiring 

organization, DoD internal authority, external authority, respondents, estimated cost 

and other related data. This inventory is used to publish DoD 8910.1-L (reference 

(p)), to screen proposed information requirements for duplication, to perform workload 

assessments, to support IRM reviews, and for general reports management activities.

DoD 8910.1-M, June 1998

106 CHAPTER 4
C4.10.2. Making Changes to the Inventory. Minor changes may be required 

when errors appear in the inventory listing. The OSD Component IMCO may request 

that these minor changes be made by electronic mail message or telephone call to the 

DoD Internal Reports Manager or by Memorandum to WHS/DIOR. Substantial 

changes to an information requirement in the inventory are made through submission 

of an SD Form 455.

C4.10.3. Output Reports.

C4.10.3.1. Monthly Reports to the IMCO. Every month, WHS/DIOR sends 

a report to the IMCOs that provides the latest status of reports control at the 

Department of Defense level. It includes a list of DoD internal information 

requirements canceled since the last report and a list of expired DoD internal reports. 

OSD Component IMCOs shall review the monthly activity reports and take appropriate 

action, especially with regard to expired information requirements. If an information 

requirement is no longer required, it should be canceled.

C4.10.3.2. DoD 8910.1-L, “Listing of Approved Recurring Information 

Requirements” (reference (p)). This listing, required by DoD Directive 8910.1 

(reference (b)), is published monthly on the Internet under DefenseLINK, Publications 

by WHS/DIOR. Its purpose is to identify DoD internal information requirements 

approved by OSD, interagency information requirements approved by GSA, and public 

information requirements approved by OMB.

C4.10.3.3. Special Request Reports. Special request reports are available to 

OSD Component IMCOs and Congressional liaison personnel whenever they are 

needed to focus on a particular aspect of their respective reports control programs. 

These reports are generally used to conduct internal reviews of reporting requirements, 

to reconcile OSD Component inventories with WHS/DIOR inventories, and to brief 

new personnel. Special requests may be made to WHS/DIOR by Memorandum or 

electronic mail at any time. WHS/DIOR will generally respond within 10 business 

days, whenever possible.

C4.11. SURVEYS OF DoD PERSONNEL

All attitude and opinion surveys of DoD personnel that are also DoD internal 

information requirements must be approved by OUSD(P&R) as required by DoD 

Instruction 1100.13 (reference(k)). Surveys of DoD personnel by non-governmental 

sources are neither encouraged nor discouraged. Surveys by non-governmental 

DoD 8910.1-M, June 1998

107 CHAPTER 4
sources may be sponsored by the OSD Component responsible for that functional area 

(e.g., medical (Health Affairs), financial (Comptroller), personnel (Personnel and 

Readiness), etc., at the discretion of that office).

DoD 8910.1-M, June 1998

108 CHAPTER 4
Figure C4.F1. OSD Procedures to License DoD Internal Information

DoD 8910.1-M, June 1998

109 CHAPTER 4
Figure C4.F2. SD Form 455, “Request for Approval of Information Collection” - Sample

DoD 8910.1-M, June 1998

110 CHAPTER 4
Figure C4.F3. SD Form 455, “Request for Approval of Information Collection” - Instructions

DoD 8910.1-M, June 1998

111 CHAPTER 4
C5. CHAPTER 5

INTERAGENCY INFORMATION REQUIREMENTS

C5.1. PURPOSE

The purpose of this chapter is to document the procedures required for DoD 

Components to develop, revise, and cancel interagency reports imposed on other 

Federal Agencies by the Department of Defense. It also specifies the responsibilities 

of DoD Components for responding to interagency reporting requirements imposed on 

DoD by other Federal Agencies. The Interagency Reports Management Program 

functions to ensure that interagency information requirements are based on need, are 

cost-effective, and comply with applicable laws and regulations.

C5.2. SCOPE

C5.2.1. This chapter covers the procedures for DoD Components to follow when 

imposing interagency information requirements on one or more other Federal Agencies.

C5.2.1.1. Interagency information requirements are reviewed and cleared by 

the GSA and are subject to the provisions of 41 CFR, Subchapter B, Subpart 

101-11.204, (reference (j)).

C5.2.1.2. Interagency reports that are also public information requirements 

require OMB approval in accordance with the provisions of 5 CFR 1320 (reference 

(c)). Chapter C3. of this Manual, contains procedures for obtaining OMB approval.

C5.2.1.3. Interagency reports that are also OSD internal information 

requirements require WHS/DIOR approval in accordance with Chapter C4. of this 

Manual.

C5.2.2. This chapter also covers the responsibilities of DoD Components for 

responding to information requirements imposed by other Federal Agencies on the 

Department of Defense and for the development of cost estimates for information 

requirements imposed by those Agencies.

C5.3. DEFINITIONS

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112 CHAPTER 5
C5.3.1. Interagency Report. Data or information that is transmitted between 

Federal Agencies for use in determining policy; planning, controlling, and evaluating 

operations and performance; making administrative determinations; or preparing other 

reports. The data or information may be in narrative, statistical, graphic, or other form 

and may be displayed on paper, magnetic tapes, or other media.

C5.3.2. Interagency Reporting. The process by which data or information for a 

report transmitted between or among Federal Agencies is collected, organized, 

transmitted, and retained.

C5.3.3. Interagency Reporting Requirement. Any requirement that involves a 

report to a Federal Agency from one or more other Federal Agencies covered by the 

“Federal Records Act of 1950” (reference (z)).

C5.3.4. Interagency Reports Coordinator. The DoD Interagency Reports 

Coordinator is organizationally assigned to WHS/DIOR and serves as the single DoD 

liaison official authorized to:

C5.3.4.1. Sign and submit Standard Form (SF) 360, "Request to Approve an 

Interagency Reporting Requirement";

C5.3.4.2. Respond to requests from requiring Agencies for interagency 

reports cost estimates; maintain official Agency records on interagency reporting 

requirements; and

C5.3.4.3. Serve as liaison between Agency components and other Agencies 

on interagency reporting matters.

C5.3.5. Requiring Agency. An Agency establishing an interagency information 

requirement.

C5.3.6. Responding Agency. An Agency required to respond to an interagency 

information requirement.

C5.4. RESPONSIBILITIES

C5.4.1. Requiring Agency Components. DoD Components imposing 

information requirements on other Federal Agencies shall:

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113 CHAPTER 5
C5.4.1.1. Develop new and revised interagency reporting requirements in 

accordance with this Manual;

C5.4.1.2. Obtain GSA approval through WHS/DIOR for each new, revised, 

or extended interagency information requirement prior to implementing the 

requirement or in cases of urgency, as soon as possible thereafter;

C5.4.1.3. Review DoD 8910.1-L, (reference (p)) to determine if the 

information requirements of the proposed report can be satisfied by an existing report;

C5.4.1.4. Review existing interagency reports for possible improvements 

when submitting requests to extend clearances;

C5.4.1.5. Provide responding Agencies the opportunity to comment on each 

proposed new or revised interagency information requirement;

C5.4.1.6. Obtain GSA approval through WHS/DIOR to collect test 

information from other Federal Agencies to do a pilot test of the system if the 

estimated cost for a new or substantially revised information requirement exceeds 

$500,000;

C5.4.1.7. Reinstate expired interagency information requirements; and

C5.4.1.8. Cancel interagency reports no longer required.

C5.4.2. Responding Agency Components. DoD Components responding to 

information requirements from other Federal Agencies shall:

C5.4.2.1. Reply within 30 calendar days to other Agencies' written requests 

for cost estimates concerning their existing or proposed interagency reports;

C5.4.2.2. Respond to approved interagency information requirements;

C5.4.2.3. Refrain from responding to unlicensed interagency information 

requirements and inform WHS/DIOR of the solicitation;

C5.4.2.4. Review the GSA “Inventory of Approved Interagency Reports” to 

determine if the information requirements of the proposed report can be satisfied by an 

existing report;

C5.4.2.5. Review existing interagency reports for possible improvements 

DoD 8910.1-M, June 1998

114 CHAPTER 5
when submitting requests to extend clearances; and

C5.4.2.6. Ensure that personal information, subject to the Privacy Act 

(reference (o)), is authorized to be released under the special disclosure requirements 

set forth in DoD 5400.11-R (reference (d)).

C5.5. COVERAGE

C5.5.1. Excluded Organizations. The following organizations are exempt from 

interagency report control licensing:

C5.5.1.1. Legislative Branch requirements in statutes or Congressional 

committee requests; and

C5.5.1.2. Judicial Branch requirements in court orders or other judicial 

determinations.

C5.5.2. Exemptions.

C5.5.2.1. Interagency information requirements for classified information are 

exempt. However, unclassified interagency information requirements are not exempt, 

even if such information is later given a security classification by the requesting 

Agency;

C5.5.2.2. Operating documents routinely exchanged among Federal Agencies;

C5.5.2.3. Presidential requirements in Presidential directives (i.e., Executive 

Orders);

C5.5.2.4. OMB budgetary, program review and coordination; and legislative 

clearance requirements; and

C5.5.2.5. The United States Coast Guard by agreement with the Department 

of Transportation when the Coast Guard is operating as a Military Service of the 

Department of Defense, whose personnel are included in an approved DoD program 

and no other Federal Agency is involved.

C5.5.3. Special Circumstances. Questions concerning the applicability of these 

exclusions and exemptions shall be directed to WHS/DIOR. In many cases, although 

the information requirement is exempt from interagency licensing procedures, a DoD 

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115 CHAPTER 5
internal RCS may be required because information is collected from the DoD 

Components and forwarded to the requesting organization. Additionally, if DoD 

Components are requested to provide more information than required by the 

interagency information requirement, a DoD internal RCS may also be required.

C5.6. PROCEDURES TO LICENSE OR REVISE INTERAGENCY INFORMATION 

REQUIREMENTS

C5.6.1. Overview. The licensing process involves preliminary discussions with 

GSA, which should be conducted with the IMCO and the DoD Interagency Reports 

Coordinator (WHS/DIOR). After any preliminary discussions, the process involves 

the preparation of a justification statement, collection of cost estimates from 

responding Agencies, consolidation of cost estimates, and the preparation of a 

Standard Form (SF) 360, "Request to Approve an Interagency Reporting 

Requirement." The SF 360, with related documentation, is sent to the DoD 

Component IMCO, then to WHS/DIOR, and finally to GSA. Figure C5.F1. shows the 

overall flow of the approval process and the organizations responsible for the various 

steps in the process.

C5.6.2. Preliminary Action.

C5.6.2.1. Coordinate with IMCO. During coordination of the information 

requirement with the IMCO, the project officer should request determination of any 

interagency reports licensing that may be required. If necessary, further discussions 

with the DoD Interagency Reports Coordinator can be conducted in preparation for 

submission to GSA.

C5.6.2.2. Discussion with GSA. The Department of Defense, as requiring 

Agency, shall consult with GSA on proposed new or revised interagency reporting 

requirements before submitting the SF 360. The OSD Component IMCO and the 

DoD Interagency Reports Coordinator will participate in the discussion. WHS/DIOR 

will schedule any meetings or act as an intermediary for conducting discussions by 

telephone with GSA.

C5.6.3. Waiver Provisions. DoD Components seeking a waiver from justifying 

and estimating the cost of an information requirement shall send a written explanation 

of the need for the report and the waiver to WHS/DIOR who will forward the request 

to GSA. Waiver requests must include a summary cost estimate in item 9 of SF 360.

C5.6.4. Prepare Justification. Following any discussions with the DoD 

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116 CHAPTER 5
Interagency Reports Coordinator and GSA, the DoD Component shall justify the need 

for the report. A justification statement shall be prepared and attached to the SF 

360.The justification shall:

C5.6.4.1. State why the report is needed and how it will be used;

C5.6.4.2. Describe the benefits (in dollar value if possible) expected from the 

information and assess the probability that the benefits will be achieved;

C5.6.4.3. Describe how the program will be affected if the information is not 

obtained;

C5.6.4.4. Identify any responding Agencies that took part in designing, 

testing, and estimating the cost of the proposed report;

C5.6.4.5. Identify the agencies that agree or do not agree with the proposed 

report and summarize the reasons;

C5.6.4.6. Explain how the reporting costs shown on the SF 360 were 

derived; and

C5.6.4.7. Describe other reporting plans considered, including:

C5.6.4.7.1. Frequency of reporting;

C5.6.4.7.2. Use of exception reporting;

C5.6.4.7.3. Use of sampling techniques;

C5.6.4.7.4. Selection of respondents;

C5.6.4.7.5. Obligation of respondents to comply;

C5.6.4.7.6. Amount of detail;

C5.6.4.7.7. Format of report; and

C5.6.4.7.8. Method of transmission.

C5.6.5. Prepare OF 101, “Summary Worksheet for Estimating Reporting Costs.”

 The DoD Component shall obtain cost estimates from the Federal Agencies who will 

respond to the proposed information requirement. These Agencies are required to 

DoD 8910.1-M, June 1998

117 CHAPTER 5
respond within 30 calendar days. WHS/DIOR can assist the requiring office in this 

phase by providing the mailing addresses of the appropriate points of contact and, if 

necessary, follow up with the Federal Agencies. The requiring office will receive a 

completed OF 101 from each of the responding Agencies. Respondent estimates shall 

be consolidated into a single OF 101, which includes the costs calculated by the 

requiring office. Chapter C7. of this Manual provides detailed guidance and examples 

on how to prepare the cost estimate.

C5.6.6. Prepare SF 360, “Request to Approve an Interagency Reporting 

Requirement.” An SF 360, with supporting documentation, may be submitted 

electronically to WHS/DIOR. An original signed SF 360 must be forwarded 

separately until such time as an electronic signature standard has been adopted by the 

Department of Defense. Figure C5.F2. provides an example of a properly completed 

SF 360. 

 

The item by item instructions for preparing an SF 360 are as follows:

Item 1. For GSA Use. Self-explanatory.

Item 2. Name, Address and ZIP Code of Requesting Agency. 

Self-explanatory.

Item 3. Title of Proposed Reporting Requirement. Self-explanatory.

Item 4. Type of Request. Mark the appropriate box regarding the type of 

submission.

Item 5. Frequency of Use. Mark the appropriate box regarding the 

frequency of the report.

Item 6. Revisions and Extensions. Self-explanatory.

Item 7. Law or Regulation(s) Requiring the Report. Self-explanatory. 

Attach relevant section when required by Public Law or United States Code.

Item 8. Canceled or Modified Reports or Forms. List by title and 

Interagency Report Control Number or OMB approval number, reports or forms to be 

canceled or revised by the report.

Item 9. Summary of Estimated Reporting Workload. Self-explanatory.

DoD 8910.1-M, June 1998

118 CHAPTER 5
Item 10. Summary of Estimated Reporting Costs. The cost figures for this 

section are obtained from the OF 101 prepared and summarized by the requiring DoD 

Component and also obtained from cost estimates prepared by the responding 

Agencies.

10a. Column 1. This total is obtained from Item 5.f., of the OF 101 

prepared by the requiring DoD Component in accordance with Chapter C7. of this 

Manual.

10a. Column 2. This figure is the total of all costs taken from Item 

5.f., “Developmental Costs,” of the cost estimate prepared and submitted by the 

responding Agencies.

10a. Total Column. Self-explanatory.

10b. Column 2. This figure is the total of all costs obtained from Item 

10.f., “Operational Costs” of all cost estimates.

10b. Total Column. Self-explanatory.

10c. Column 1. This figure is obtained from Item 14.f., “User Costs” 

of the requiring Agency cost estimate.

10d. Totals Columns. Self-explanatory.

Item 11. Remarks. Self-explanatory.

Item 12. OMB Approval. Self-explanatory.

Item 13. Name of Originating Program Official information. 

Self-explanatory.

Item 14. Signature of Interagency Reports Coordinator. Self-explanatory.

Items 15 and 16. For GSA’s Interagency Reports Use.

C5.6.7. Clear Through DoD Component Information Management Control 

Officer. Submit the original SF 360 package through the IMCO who will check it for 

completeness, duplication, proper coordination, and compliance with GSA 

requirements agreed to during any initial discussions. In addition, the IMCO will 

ensure compliance with the following programs.

DoD 8910.1-M, June 1998

119 CHAPTER 5
C5.6.7.1. Privacy Act (reference (o)). If the information requirement 

requests personal information, coordinate with WHS, Directorate for Correspondence 

and Directives, Directives and Records Division or other Component Privacy 

coordinator for a determination on compliance with DoD 5400.11-R (reference (d));

C5.6.7.2. Postal. If the instrument of collection is used as a mailer, follow 

the procedures in DoD 4525.8-M (reference (v)); 

C5.6.7.3. Data Administration. If the data being collected are used to 

support DoD operations and decision-making or in an automated information system 

that requires horizontal and/or vertical sharing of data, follow the procedures in DoD 

8320.1-M (reference (f));

C5.6.7.4. Reports Management Program (Public Information Requirements).

 If this information is also collected from members of the public, follow the 

procedures in Chapter C3. of this Manual;

C5.6.7.5. Reports Management Program (Internal Information 

Requirements). If this information is also collected within your organization, follow 

the procedures in Chapter C4. of this Manual; and

C5.6.7.6. Forms Management Program. If the instrument of collection 

should be controlled as a form, follow the procedures in DoD 7750.7-M (reference (e));

C5.6.8. Submission to WHS/DIOR.

C5.6.8.1. Reports Management Criteria. The DoD Interagency Reports 

Coordinator reviews all SF 360s before they are submitted to GSA. They are checked 

for completeness, coordination with responding Agencies, duplicate reporting, and 

cost-effectiveness. If there is a problem with the submission, the DoD Interagency 

Reports Coordinator will contact the Component IMCO submitting the package and try 

to resolve any problems. If a problem cannot be resolved by informal means, then the 

package is returned with a written explanation. The specific items checked are:

C5.6.8.1.1. Original SF 360 is submitted;

C5.6.8.1.2. SF 360 is complete and correct;

C5.6.8.1.3. OF 101 is complete and correct; and

DoD 8910.1-M, June 1998

120 CHAPTER 5
C5.6.8.1.4. Justification is adequate.

C5.6.8.2. Privacy Act (reference (o)). WHS/DIOR reviews the proposed 

information collection for compliance with DoD 5400.11-R (reference (d)).

C5.6.8.3. DoD Forms Management Program. WHS/DIOR reviews the 

proposed information requirement to determine if the instrument of collection should 

be controlled as a form in accordance with DoD 7750.7-M (reference (e)).

C5.6.8.4. DoD Data Administration Program. DoD 8320.1-M (reference 

(f)) provides procedures for implementing the DoD Data Administration Program. It 

also contains procedures for identifying, standardizing, collecting, distributing, using, 

and disposing of DoD data.

C5.6.9. Submission to GSA. Upon approval, WHS/DIOR will submit the 

original SF 360, along with the supporting documentation, to GSA.

C5.6.10. Approval/Disapproval. Upon receipt, GSA will review the proposal for 

demonstrated need, cost-effectiveness, and coordination with other clearance 

authorities, and will ensure that the report does not duplicate existing interagency 

reports. GSA will assign an interagency report control number and an expiration date, 

return the SF 360 to the DoD Interagency Reports Coordinator, and enter the report 

into the GSA "Inventory of Approved Interagency Reports." If GSA rejects an 

Agency's request for a report, GSA will advise the Agency, in writing, of the reasons 

for the rejection.

C5.6.11. Appeal Provisions. There are no appeal provisions provided for in any 

of the implementing regulations from GSA. If a Component wants to appeal the GSA 

decision, the project officer, the IMCO, and WHS/DIOR should meet to determine the 

best approach for the Department of Defense to obtain a favorable decision.

C5.6.12. Notification of Approval to Responding Agencies. The requiring 

Agency’s requesting organization shall notify each responding Agency of an approved 

interagency reporting requirement. WHS/DIOR will add a report profile database 

record into the DoD inventory of interagency reports.

C5.6.13. Submission of Issuance to GSA. DoD Components shall furnish a copy 

of the implementing directive, instruction, or correspondence to WHS/DIOR for the 

official file. A copy will be forwarded to GSA by WHS/DIOR, if required.

DoD 8910.1-M, June 1998

121 CHAPTER 5
C5.7. PROCEDURES TO EXTEND AN INTERAGENCY INFORMATION 

REQUIREMENT

GSA will notify Federal Agencies 90 calendar days in advance of the expiration date 

of an information requirement. Agencies shall submit requests for extension at least 

60 calendar days before the expiration date. DoD Components shall submit their 

requests for extension to WHS/DIOR not later than one week before the GSA 60 day 

deadline.

C5.8. PROCEDURES TO CANCEL AN INTERAGENCY INFORMATION 

REQUIREMENT

If an interagency report is no longer needed, the requiring DoD Component shall notify 

GSA through the DoD Interagency Reports Coordinator and notify the responding 

Agencies by formal correspondence. GSA will discontinue the requirement on the 

expiration date unless a request for extension is received.

C5.9. INTERAGENCY REPORT INVENTORY

C5.9.1. Overview. WHS/DIOR maintains an inventory of interagency reports, 

which includes data such as the interagency report control number, report title, 

requesting agency, authority, respondents, form numbers, estimated cost, and other 

data. This database is used to publish DoD 8910.1-L (reference (p)), which is used to 

screen proposed information collections for duplication, to perform workload 

assessments, to support IRM reviews, and for general reports management activities.

C5.9.2. GSA Publication. GSA publishes the "Inventory of Approved 

Interagency Reports" on an annual basis. WHS/DIOR reviews this publication for 

new, revised, and canceled interagency reports and makes changes to the WHS/DIOR 

interagency reports data base.

C5.9.3. Output Reports.

C5.9.3.1. Monthly Reports to the IMCOs. Every month, WHS/DIOR sends 

a report to the DoD Component IMCOs, which provides the latest status of interagency 

reports control at the DoD level. Although WHS/DIOR receives annual information 

from GSA on the interagency reports, monthly reporting reflects DoD interagency 

DoD 8910.1-M, June 1998

122 CHAPTER 5
reports that have been added, revised, canceled, have expired or will be expiring in the 

next 90 days.

DoD 8910.1-M, June 1998

123 CHAPTER 5
Figure C5.F1. DoD Procedures to License Interagency Reporting

DoD 8910.1-M, June 1998

124 CHAPTER 5
Figure C5.F2. Standard Form 360, “Request to Approve an Interagency Reporting 

Requirement” - Sample

DoD 8910.1-M, June 1998

125 CHAPTER 5
C6. CHAPTER 6

CONGRESSIONAL INFORMATION REQUIREMENTS

C6.1. PURPOSE

The purpose of this chapter is to provide the necessary guidance for periodic reviews 

of existing Congressional information requirements. DoD Components may 

recommend the termination of requirements for reports that no longer serve their 

intended purpose, no Congressional use is evident, the information is available to the 

Congress from other sources, the cost and time involved in preparing the report 

outweighs the benefits, or the information requirement has been completed but not 

administratively removed from the requiring legislation.

C6.2. SCOPE

This chapter documents the procedures for recommending termination of recurring 

information requirements including reports, certifications and notifications imposed by 

the Congress on the DoD Components. These requirements are predominately 

contained in, but not limited to, the DoD Military Construction, Authorizations and 

Appropriations Acts. Annually, OUSD(C) notifies the responding DoD Components 

of the information requirements contained in these Acts in accordance with DoD 

Directive 5545.2 (reference (aa)).

C6.3. EXEMPTIONS

The following types of Congressional information requirements are exempt from the 

review and termination procedures of this chapter:

C6.3.1. House and Senate Conference reports that accompany the annual 

Authorizations, Appropriations and Military Construction Acts; and

C6.3.2. One-time information requirements.

C6.4. RESPONSIBILITIES

C6.4.1. DoD Components. In response to requests for recommendations for 

termination of Congressional information requirements, DoD Component program 

DoD 8910.1-M, June 1998

126 CHAPTER 6
managers, in coordination with their legislative liaison staff, shall:

C6.4.1.1. Review their Congressional information requirements and identify 

reports which meet one or more of the following criteria:

C6.4.1.1.1. No longer serve their intended purpose;

C6.4.1.1.2. No Congressional use is evident;

C6.4.1.1.3. Provide information which is available to the Congress from 

other sources;

C6.4.1.1.4. Outweigh the perceived benefits; or

C6.4.1.1.5. Have been completed but not administratively removed from 

the requiring legislation.

C6.4.1.2. Prepare recommendations to terminate the requirement for 

submission of reports, certifications or notifications that meet one or more criteria 

listed in C6.4.1.1., above.

C6.4.1.3. Coordinate with WHS/DIOR to ensure that recommendations for 

termination of Congressional information requirements are appropriately justified.

C6.4.2. WHS/DIOR shall:

C6.4.2.1. Respond to requests for DoD recommendations for termination of 

recurring Congressional reporting, notification and certification requirements as 

requested by the Congress and OMB;

C6.4.2.2. Establish and maintain an inventory of Congressional information 

requirements to include, but not limited to, a unique identifying record number, the 

requiring legislation (Public Law and Section or Title and Section of the United States 

Code), report title and description, responsible DoD Component, frequency, sunset or 

expiration date, point of contact and review information;

C6.4.2.3. Publish a comprehensive listing of recurring Congressional 

information requirements on the Internet and provide ad hoc reports to DoD 

Components on request;

C6.4.2.4. Reconcile the inventory of Congressional information requirements 

DoD 8910.1-M, June 1998

127 CHAPTER 6
with the National Defense Authorizations, Appropriations, and Military Construction 

Acts for that fiscal year and the Committee on National Security committee prints 

entitled “Title 10, United States Code, Armed Forces” and “Compilation of 

Defense-Related Federal Laws (Other Than Title 10, United States Code)” not less 

frequently than annually;

C6.4.2.5. Consolidate DoD Component recommendations for termination; 

and

C6.4.2.6. Coordinate with the Department of Defense Office of General 

Council; Office of the Inspector General, and the Office of the Assistant Secretary of 

Defense (Legislative Affairs) (OASD(LA)), as appropriate, to:

C6.4.2.6.1. Obtain review and approval of justifications for termination 

of each Congressional information requirement so recommended;

C6.4.2.6.2. Verify legislation requiring the report; and

C6.4.2.6.3. Coordinate on appropriate repeal or amendment language for 

submission to the Congress.

DoD 8910.1-M, June 1998

128 CHAPTER 6
C7. CHAPTER 7

COST ESTIMATING PROCEDURES

C7.1. OVERVIEW

C7.1.1. General.

C7.1.1.1. As previously stated, the objectives of reports management are to 

ensure that needed information is provided to Agency officials at the right time, in the 

best format, and at the lowest possible cost. As in managing any project, it is 

necessary to know the costs associated with an information requirement.

C7.1.1.2. Management needs cost estimate information to determine if the 

expected value of the information is worth the cost of collecting it. The costing 

methods provided in this chapter are used to compute the costs for the collection of 

information. They are used for estimating DoD internal, interagency, and public 

information requirements.

C7.1.1.3. Each Component shall maintain supporting documentation and cost 

estimating worksheets for all information requirements. Supporting documentation 

and worksheets for all cost estimates must be available for GSA review. GSA review 

may include the appropriateness of the costing method selected by the Agency. 

Information requirement cost data shall be updated every three years upon 

reinstatement of the information requirement or whenever a substantial change in the 

information requirement occurs.

C7.1.2. Scope. The costing methods defined in this chapter apply to DoD costs 

associated with satisfying DoD public information, DoD internal and interagency 

requirements. These methods describe the preparation of routine cost estimates only. 

Full cost/benefit analyses are not addressed in this Manual.

C7.2. COSTING ALTERNATIVES

Cost estimates are needed for management to determine if the expected value of the 

information is worth the cost of obtaining it. OSD Components shall select the most 

appropriate costing alternative and costing method for preparation of the reporting cost 

estimates.

DoD 8910.1-M, June 1998

129 CHAPTER 7
C7.2.1. Pilot Testing. Pilot testing estimates are based on actual costs 

collected. Pilot testing estimates shall be used for high-cost reporting networks, 

full-scale automated systems, databases containing a large number of data elements, 

new data collection systems, or when respondent costs are needed for budget purposes.

C7.2.2. Factoring. Factoring estimates are based on actual costs previously 

collected for a comparable report. Factoring estimates shall be used when there is 

medium to low-cost reporting, the estimate is based on a revision to or reinstatement of 

a previously estimated report, there is a high degree of experience with comparable 

reports made by the same (one or a limited number) of responding Agencies, or the 

costs are easily compared with actual costs for a similar information collection by an 

experienced estimator.

C7.2.3. Sampling. Sampling estimates are based on a representative selection of 

responding Agencies. Sampling shall be used when there is low to high-cost 

reporting, a large number of respondents, or new reports.

C7.2.4. Technical Estimates. Technical estimates are estimates based on 

experience. Technical estimates shall be used when there is low-cost reporting, more 

detailed costing waived by GSA, one-time reports, or a limited number of respondents.

C7.3. COSTING ACCURACY

C7.3.1. The importance of the cost estimate to management shall have a direct 

relation to the degree of accuracy required in preparing the estimate.

C7.3.2. Management normally is more concerned with the accuracy of cost 

estimates in the case of a high-cost, recurring report than in the case of a relatively 

low-cost, one-time report. When the benefits of a report are not clearly and 

substantially greater than probable costs, greater precision is necessary in order to 

permit a valid cost to benefit evaluation.

C7.4. COSTING METHODS

C7.4.1. Routine Cost Estimate. DoD public information, internal, and 

interagency information requirements require cost estimates to be prepared using the 

appropriate costing alternatives and accuracy levels described in the previous two 

sections. The procedures of this chapter address the preparation of routine cost 

DoD 8910.1-M, June 1998

130 CHAPTER 7
estimates.

C7.4.2. Full Cost/Benefit Analysis. If an information collection or system is 

considered to be "major" by the CIO or Representative of the DoD Component 

sponsoring the reporting activity, a full cost/benefit analysis, instead of a routine cost 

estimate, is required. DoD Instruction 7041.3 (reference (ab)), or other appropriate 

guidance, shall be followed in the development of the full cost/benefit analysis. The 

procedures for performing these analyses are quite broad, vary considerably among 

components, and are not covered in this Manual.

C7.5. EXCLUDED COSTS

There are two kinds of costs that should be excluded when estimating the costs of a 

reporting system:

C7.5.1. Feeder reports when the feeder can exist without the reporting system; and

C7.5.2. Reports that are integral to an organization's function and that would 

continue if the reporting requirement did not exist.

C7.6. COST ESTIMATING PROCEDURES

The steps required to develop a cost estimate are as follows:

C7.6.1. Use Optional Form (OF) 101, "Summary Worksheet for Estimating 

Reporting Costs," (See figure C7.F1.) to consolidate the cost data.

C7.6.2. Collect the cost data using one or more of the costing alternatives 

described in paragraph C7.2., above.

C7.6.3. Group the cost data by the following reporting activities (developmental, 

operational, and user). Occasionally, not all of these activities will apply and in some 

cases additional activities may be necessary.

C7.6.3.1. Developmental activity is work on new reports or modification of 

existing reports. Modifications made to feeder reports should be included in the 

developmental costs.

C7.6.3.2. Operational activity is on-going work, such as data collection, 

processing, and transmission.

DoD 8910.1-M, June 1998

131 CHAPTER 7
C7.6.3.3. User activity is work performed by the office that imposed the 

information requirement. It includes activities such as reviewing, refining, analyzing, 

and documenting.

C7.6.4. Categorize the cost data by the following types of resources used (direct 

personnel costs; overhead costs; direct equipment, materials and supplies costs; and 

other direct costs). Explanations for each are as follows:

C7.6.4.1. Direct personnel costs are the costs of labor used in the reporting 

activity plus the cost of fringe benefits. Labor cost is computed by multiplying the 

hourly rate of the personnel doing the job by the number of hours on the activity. To 

determine the hourly rate, divide the employee's annual salary by 2,087 which is the 

standard number of working hours in a year. Fringe benefit costs are computed by 

multiplying a fringe benefit factor by the cost of labor. A fringe benefit factor can be 

provided by the component's budget office. Alternatively, a factor of 0.26 (26 

percent) may be used.

C7.6.4.2. Overhead costs are the direct personnel costs multiplied by an 

overhead rate for the office. This rate typically runs from 25 to 100 percent. If the 

overhead rate is known, it may be used directly, and paragraph C7.7.2., below 

applies. Otherwise, the overhead rate should be computed as follows:

C7.6.4.2.1. Compute the total overhead (i.e., indirect cost) by summing 

the cost of salaries and fringe benefits for supervisory, clerical, and technical 

personnel, supplies, space, utilities, telephone, and other common items. Ensure that 

only those costs which apply to internal organizational activities (i.e., overhead 

operations) are included and not production activities. Do not include in this 

computation that portion of supervisory, clerical, and personnel salaries and fringe 

benefits that are involved in the direct production (direct costs).

C7.6.4.2.2. Compute the direct mission cost by subtracting the total 

overhead cost from the office's total annual budget.

C7.6.4.2.3. Compute the overhead rate by dividing the total overhead 

cost by the direct mission cost. For example, if the overhead cost including salaries, 

fringe benefits, supplies, space and utilities is $100,000 and the office's annual budget 

is $250,000, then the mission cost is the annual budget less the overhead cost which is 

$150,000. The overhead rate then would be the total overhead cost divided by the 

direct mission cost ($100,000/$150,000) resulting in an overhead rate of 0.67. If the 

DoD 8910.1-M, June 1998

132 CHAPTER 7
total direct personnel cost for this reporting activity is $10,000, then the overhead for 

this reporting activity cost would be $6,700 ($10,000 x 0.67).

C7.6.4.3. Direct equipment, material, and supply costs include the actual cost 

of equipment directly applied to the information requirement and all associated 

material and supply costs which can be attributed directly to the requirement.

C7.6.4.3.1. Equipment costs include acquisition, maintenance, 

transportation, and installation. To compute the equipment costs, prorate its actual 

cost over all its uses and amortize this cost over the equipment's life expectancy. For 

example, if a computer costs $100,000 and 10 percent of the time it is used for the 

information requirement at hand, the prorated cost would be $10,000. Assuming the 

expected life of the computer is five years, for example, the annual amortized cost 

would be $2,000.

C7.6.4.3.2. Direct material and supply costs are the actual costs of these 

items used for the information requirement being estimated. Examples are paper, 

ribbons, forms, and other items.

C7.6.4.4. Other direct costs are costs other than direct equipment, material, 

and supply costs. These costs consist of purchased services or activities for which 

fees are charged. Enter the cost information on the OF 101 and calculate the 

developmental costs (Item 5(f)), Operational Costs for One Report (Item 9(f)), Annual 

Operational Costs (Item 10(f)), User Costs for One Report (Item 13(f)), and Annual 

User Costs (Item 14(f)).

C7.7. SAMPLE COST ESTIMATE

The purpose of this section is to present a complete example of a cost estimate 

prepared for a new reporting system. It utilizes the OF 101, "Summary Worksheet for 

Estimating Reporting Costs," and implements the costing methods described in 

paragraph C7.4., above. For this example, assume that there is one report per year. If 

there are four reports per year, for example, the cost elements in "Operational Costs" 

(Columns (a) through (e) of the OF 101) and "User Costs" (Columns (a) through (e) of 

the OF 101) are each divided by four.

C7.7.1. Hourly Rate. Given the sample GS grade and salary data as shown 

below, compute the average hourly labor rate for each GS grade involved in the 

development of the reporting activity.

DoD 8910.1-M, June 1998

133 CHAPTER 7
GS Grade Salary Hourly Rate

13/1 $51,003 $24.52

12/1 42,890 20.62

 7/1 24,178 11.62

C7.7.2. Direct Personnel Costs (Column (a), OF 101). Using the rates 

determined in the preceding step, and the estimated labor hours by GS grade to 

accomplish the development, operational, and user activities associated with the 

reporting activity, and a fringe benefit factor of 26 percent, compute the direct 

personnel costs and enter them in the appropriate items under Column (a) of the OF 

101.

Labor

Hours

Fringe

Benefit

Hourly

Rate

Total

Cost

Developmental Costs

 Specification GS 13 8 hrs x 1.26 x $24.52 = $247.16

GS 12 1 hr x 1.26 x $20.62 = $25.98

_______

$273.14

 Analysis GS 13 16 hrs x 1.26 x $24.52 = $494.32

 Specification GS 13 8 hrs x 1.26 x $24.52 = $247.16

 Design GS 12 16 hrs x 1.26 x $20.62 = $415.69

 Installation GS 12 40 hrs x 1.26 x $20.62 = $1039.24

Operational Costs

 Data Collection GS 7 4 hrs x 1.26 x $11.62 = $58.56

 Data Processing GS 12 2 hrs x 1.26 x $20.62 = $69.22

User Costs

 Analyzing GS 12 16 hrs x 1.26 x $20.62 = $415.69

 Presenting GS 13 40 hrs x 1.26 x $24.52 = $1235.80

 Documenting GS 7 8 hrs x 1.26 x $11.62 = $117.12

_______

$1352.92

C7.7.3. Total Overhead Cost. If an overhead rate for the organizations involved 

in the reporting activity are not available, one must be computed. The first step in 

making such a computation is to total all overhead costs. Using the example data 

below, the total overhead costs are found to be $1,286,000 as follows:

DoD 8910.1-M, June 1998

134 CHAPTER 7
Items Overhead Costs

Salary and Fringe Benefits

 Supervisory $770,000

 Clerical/Technical 180,000

Supplies 145,000

Telephone and Common Items 98,000

Space and Utilities 93,000

_________

Total Overhead Costs $1,286,000

C7.7.4. Total Mission Cost. To arrive at mission cost, subtract overhead costs 

from the budget of the organizations involved in the reporting activity. Using the 

example data below, the mission cost is found to be $1,948,000.

Total Budget $3,234,000

Total Overhead Cost -1,286,000

_________

Total Mission Costs $1,948,000

C7.7.5. Overall Overhead Rate. The overhead rate would thus be computed as 

follows: $1,286,000/$1,948,000 = 0.66

C7.7.6. Specific Overhead Costs (Column (b), OF 101). The overhead 

calculations for the OF 101 are obtained by taking the direct personnel costs found in 

paragraph C7.7.2., above, and multiplying them by the overhead rate (0.66 in the 

example). The calculations are as follows:

DoD 8910.1-M, June 1998

135 CHAPTER 7
Development Cost Overhead Cost

Specification ($ 273.14 x 0.66) =$180.27

Analysis ($ 494.32 x 0.66) =$326.25

Design ($ 415.69 x 0.66) =$274.36

Installation ($1039.24 x 0.66) = $685.90

Operational Cost

Data Collection ($ 58.56 x 0.66) = $38.65

Data Processing ($ 69.22 x 0.66) = $45.69

User Cost

Analyzing ($ 415.69 x 0.66) = $274.36

Presenting ($ 235.80 x 0.66) = $815.63

Documenting ($ 117.12 x 0.66) = $77.30

______

$892.93

These figures can now be entered into Column (b) of the OF 101.

C7.7.7. Direct Equipment Costs (Column (c) of OF 101). Assume there is a 

computer with associated peripherals that will be used 20 percent of the total available 

time on the machine during the development of the reporting system that will take less 

than one year to accomplish. During the operational phase of reporting, 10 percent of 

the total time available on the computer shall be used by the reporting activity being 

estimatedon the OF 101. The equipment was purchased for $95,000 two years ago, 

has three years of useful life remaining, and has $1,000 annual maintenance costs. 

Compute the equipment costs as follows:

Annual Amortizied Computer Cost = $95.000 / 5 = $19,000

Annual Computer Maintenance = $1,000

________

Total Annual Computer Cost = $20,000

Prorated Cost of Development = $20,000 x .2 = $4,000

Prorated Cost of Development = $20,000 x .1 = $2,000

The entry would be $4,000 in Item 4(c) of the OF 101 and $2,000 in Item 7(c).

C7.7.8. Direct Material Costs (Column (d), OF 101). Assume that $1,000 worth 

of pre-printed forms must be purchased each year to accomplish the data collection. 

Enter $1,000 in Item 6(d) of the OF 101.

DoD 8910.1-M, June 1998

136 CHAPTER 7
C7.7.9. Other Direct Costs (Column (e), OF 101). Assume that a contractor was 

hired to do the design and installation of the reporting system and these costs were 

$67,000 and $43,000, respectively. In addition, a contractor is paid $48,000 per 

annum to do the data collection. Enter $67,000 and $43,000 in Items 3(e) and 4(e), 

respectively, and $48,000 into Item 6(e).

C7.7.10. Final Totals. Determine the total costs in Items 5, 9, and 13 of the OF 

101 by adding the appropriate entries in Column (f). Compute Items 10 and 14 by 

multiplying Items 9 and 13 by the number of reports per year.

C7.7.11. Sample OF 101. A completed OF 101 based on the foregoing example 

is shown in Figure C7.F1.

C7.8. OTHER METHODS

Any forms, methods, or shortcuts which DoD Components may devise in documenting 

information requirements are likely to be acceptable routine cost estimates if they 

adhere to the following standards:

C7.8.1. Developmental, operational, and user costs and related reporting activities 

are considered;

C7.8.2. Accepted sampling methods are used;

C7.8.3. The full range of resources expended in reporting are included in 

estimates of reporting costs (i.e., personnel, overhead, materiel, equipment, and others);

C7.8.4. Estimates of reporting costs are based on the resources required to be 

consumed in the reporting system being estimated rather than upon the net additional 

resources required by an organization in the reporting;

C7.8.5. Estimates of personnel costs include the salary of an employee's 

non-productive time as well as their productive time and also includes the costs to the 

Government for insurance and retirement plans;

C7.8.6. Estimates of the equipment costs of reporting are based on a pro rata 

share with other uses made of the equipment;

C7.8.7. Certain basic work operations of an organization and certain feeder 

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137 CHAPTER 7
reports, while essential to a particular reporting requirement, are independent reports in 

the sense that they would continue to exist even if the information requirement were to 

be discontinued. Such independent operations and feeder reports are excluded from 

the estimated costs of the reporting requirement; and

C7.8.8. Shortcuts for estimating reporting costs may be used to reduce the 

expense of estimating if they provide an adequate degree of reliability, validity, and 

accuracy.

Figure C7.F1. OF 101, “Summary Worksheet for Estimating Reporting Costs"--Sample

DoD 8910.1-M, June 1998

138 CHAPTER 7