Transcription of DD Form 2981, Basic Criminal History and …
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OMB No. 0704-0516. Basic Criminal History AND STATEMENT OF admission . OMB approval expires (Department of Defense Child and Youth (C&Y) Programs) May 31, 2017. The public reporting burden for this collection of information is estimated to average 15 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 the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0516).
BASIC CRIMINAL HISTORY AND STATEMENT OF ADMISSION. 11. AUTHORIZATION AND RELEASE CERTIFICATION. I hereby authorize the Department of Defense and other authorized federal agencies to obtain any information required from the
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