Disposition of Remains - Reimbursable Basis Request for Payment of Funeral Expenses

ICR 200304-0704-002

OMB: 0704-0030

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
0704-0030 200304-0704-002
Historical Active 199909-0704-001
DOD/DODDEP
Disposition of Remains - Reimbursable Basis Request for Payment of Funeral Expenses
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 05/15/2003
Retrieve Notice of Action (NOA) 04/09/2003
  Inventory as of this Action Requested Previously Approved
05/31/2006 05/31/2006
2,450 0 0
425 0 0
0 0 0

DD Form 2065 records disposition instuctions and costs for preparation and final disposition of remains. DD Form 1375 provides next-of-kin an instrument to apply for reimbursement of funeral/expenses. The information is used to adjudicate claims for reimbursement of these expenses.

None
None


No

1
IC Title Form No. Form Name
Disposition of Remains - Reimbursable Basis Request for Payment of Funeral Expenses DD-2065, DD-1375

  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 2,450 0 0 2,450 0 0
Annual Time Burden (Hours) 425 0 0 425 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
04/09/2003


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