Application for Annuity-Certain Military Surviving Spouses

ICR 199808-0704-006

OMB: 0704-0402

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0704-0402 199808-0704-006
Historical Active 199803-0704-002
DOD/DODDEP
Application for Annuity-Certain Military Surviving Spouses
Extension without change of a currently approved collection   No
Regular
Approved without change 10/29/1998
Retrieve Notice of Action (NOA) 08/28/1998
  Inventory as of this Action Requested Previously Approved
11/30/2001 11/30/2001 10/31/1998
400 0 400
400 0 400
2,000 0 2,000

The Defense Authorization Act of FY 1998, Public Law 105-85, section 644, requires the Secretary of Defense to pay an annuity to qualified surviving spouses. The DD form 2769 Application for Annuity-Certain Military Surviving Spouses used in this information collection provides a vehicle for the surviving spouse to apply for the annuity benefit. The Department will use this information to determine if the applicant is eligible for the annuity benefit and make payment to the surviving spouse.

None
None


No

1
IC Title Form No. Form Name
Application for Annuity-Certain Military Surviving Spouses DD-2769

  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 400 400 0 0 0 0
Annual Time Burden (Hours) 400 400 0 0 0 0
Annual Cost Burden (Dollars) 2,000 2,000 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.
08/28/1998


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