Information Collection

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

IC 5249 under ICR 200304-0704-002 · OMB 0704-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0030 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Disposition of Remains - Reimbursable Basis Request for Payment of Funeral Expenses	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD-2065				Yes	Yes
Form	DD-1375				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,450	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,450	2,450
Annual IC Time Burden (Hours)	425	425
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.