Form Information
For assistance see FAQs and Downloading Instructions

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

FORM NUMBER: DD2923

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

TITLE: PRIVACY ACT DATA COVER SHEET

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
EDITION DATE: 20100901 CANCELLATION DATE:

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
FORMATS: PLEASE BE ADVISED:
PDF No link under "FORMATS:" indicates no electronic format is available.


To obtain copies of forms, contact YOUR Military Service or Component Forms Manager

click here.


Cancelled forms are not available.

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
REMARKS: Cover sheet must be printed with colors.
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

ISSUANCES: 5 USC 552a DODD 5400.11
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

SPONSOR / POC: DTRA SUB-SPONSOR: COSM-F
NUMBER OF PAGES: 1
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

USERS*: DCAA DFAS DISA DTRA DLA
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

PRESCRIBED OR ADOPTED?: A

DISPOSITION: S

SUBJECT GROUP: 5400

FORM CONTROLLED: N

MANDATORY PRINT SPECIFICATIONS: Y

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS: N
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.