[Federal Register Volume 69, Number 168 (Tuesday, August 31, 2004)]
[Notices]
[Page 53051]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-19814]


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DEPARTMENT OF DEFENSE

Office of the Secretary


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 25.

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DATES: Consideration will be given to all comments received by 
September 30, 2004.
    Title, Form, and OMB Number: Application for Discharge of Member or 
Survivor of Member of Group Certified to Have Performed Active Duty 
with the Armed Forces of the United States; DD Form 2168; OMB Number 
0704-0100.
    Type of Request: Extension.
    Number of Respondents: 3,000.
    Responses Per Respondent: 1.
    Annual Responses: 3,000.
    Average Burden Per Response: 30 minutes.
    Annual Burden Hours: 1,500.
    Needs and Uses: This information collection requirement is 
necessary to implement Public Law 95-202, section 401, which directs 
the Secretary of Defense to determine if civilian employment or 
contractual service rendered by groups to the Armed Forces of the 
United States shall be considered active duty. This information is 
collected on DD Form 2168, ``Application for Discharge of Member or 
Survivor of Member of Group Certified to Have Performed Active Duty 
with the Armed Force of the United States,'' which provides the 
necessary information to assist each of the Military Departments in 
determining if an applicant was a member of a group which has performed 
active military service. Those individuals who have been recognized as 
a member of an approved group are eligible for benefits provided for by 
laws administered by the Veteran's Administration.
    Affected Public: Individuals or households.
    Frequency: On occasion.
    Respondent's Obligation: Required to obtain or retain benefits.
    OMB Desk Officer: Ms. Jacqueline Zeiher.
    Written comments and recommendations on the proposed information 
collection should be sent to Ms. Zeiher at the Office of Management and 
Budget, Desk Officer for DoD, Room 10236, New Executive Office 
Building, Washington, DC 20503.
    DoD Clearance Officer: Mr. Robert Cushing.
    Written requests for copies of the information collection proposal 
should be sent to Mr. Cushing, WHS/ESCD/Information Management 
Division, 1225 South Clark Street, Suite 504, Arlington, VA 22202-4326.

    Dated: August 25, 2004.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 04-19814 Filed 8-30-04; 8:45 am]
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