APPLICATION FOR RETIRED PAY BENEFITS

ICR 197610-0704-004

OMB: 0704-0051

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
108513 Migrated
ICR Details
0704-0051 197610-0704-004
Historical Active
DOD/DODDEP
APPLICATION FOR RETIRED PAY BENEFITS
Revision of a currently approved collection   No
Regular
Approved without change 10/19/1976
Retrieve Notice of Action (NOA) 10/14/1976
  Inventory as of this Action Requested Previously Approved
10/31/1981 10/31/1981
12,000 0 0
2,000 0 0
0 0 0

PRIOR SERVICE INDIVIDUALS WHO HAVE (1) ATTAINED AGE 60 (2) ARE NOW QUALIFIED TO RECEIVE RETIREMENT PAY MAY SUBMIT AN APPLICATION FOR RETIRED PAY. THE APPLICATION PROVIDES SERVICE TIME WHICH IS COMPARED TO OFFICIAL RECORDS AND APPROPRIATE RETIREMENT PAY IS FOWARDED TO APPLICANT.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR RETIRED PAY BENEFITS DD 108

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 12,000 0 0 0 12,000 0
Annual Time Burden (Hours) 2,000 0 0 0 2,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/14/1976


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