APPLICATION FOR RETIRED PAY BENEFITS

ICR 198109-0704-005

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
108514 Migrated
ICR Details
0704-0051 198109-0704-005
Historical Active 197610-0704-004
DOD/DODDEP
APPLICATION FOR RETIRED PAY BENEFITS
Revision of a currently approved collection   No
Regular
Approved without change 10/27/1981
Retrieve Notice of Action (NOA) 09/11/1981
  Inventory as of this Action Requested Previously Approved
10/31/1983 10/31/1983 10/31/1981
28,000 0 12,000
4,666 0 2,000
0 0 0

USED IN PROCESSING REQUESTS FOR RETIRED PAY FOR RESERVE SERVICE MEMBER UNDER THE PROVISIONS OF TITLE 10, U.S.C., SECTIONS 1331-1337. IDENTIFIES QUALIFYING SERVICE PERFORMED IN ANY OF THE SERVICE DEPARTMENT. ONCE COMPLETED, THE FORM IS ACCEPTED BY DEPARTMENT FINANC AGENCIES TO CERTIFY FOR RETIRED PAY.

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 28,000 12,000 0 0 16,000 0
Annual Time Burden (Hours) 4,666 2,000 0 0 2,666 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.
09/11/1981


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