Statement of Claimant Requesting Recertified Check

ICR 200405-0730-002

OMB: 0730-0002

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
5624 Migrated
ICR Details
0730-0002 200405-0730-002
Historical Active 200103-0730-001
DOD/DFAS
Statement of Claimant Requesting Recertified Check
Extension without change of a currently approved collection   No
Regular
Approved without change 08/05/2004
Retrieve Notice of Action (NOA) 05/24/2004
  Inventory as of this Action Requested Previously Approved
08/31/2007 08/31/2007 08/31/2004
114,308 0 108,500
9,526 0 9,042
0 0 0

In accordance with TFM Vol. 1, Part 4 and DoD 7000.14-R, Vol. 5 there is a requirement that a payee identify themselves and certify as to what happened to the original check issued by the government: non-receipt, loss, destruction, theft, etc.. This collection will be used to identify rightful reissuance of govern ment checks or businesses outside of DoD.

None
None


No

1
IC Title Form No. Form Name
Statement of Claimant Requesting Recertified Check DD-2660

  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 114,308 108,500 0 0 5,808 0
Annual Time Burden (Hours) 9,526 9,042 0 0 484 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.
05/24/2004


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