Waiver/Remission of Indebtedness Application

ICR 200509-0730-002

OMB: 0730-0009

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
5638 Migrated
ICR Details
0730-0009 200509-0730-002
Historical Active 200208-0730-001
DOD/DFAS
Waiver/Remission of Indebtedness Application
Extension without change of a currently approved collection   No
Regular
Approved without change 11/18/2005
Retrieve Notice of Action (NOA) 09/28/2005
  Inventory as of this Action Requested Previously Approved
11/30/2008 11/30/2008 11/30/2005
8,400 0 6,000
10,500 0 12,000
0 0 0

Information is used to determine an individual's entitlement to relief from a claim owed the U.S. Government. Government claims examiners use information provided to determine whether there is indication of fraud, misrepresentation, and fault on the part of the individual, or whether it's in the best interest of the government to collect debt.

None
None


No

1
IC Title Form No. Form Name
Waiver/Remission of Indebtedness Application DD-2789

  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 8,400 6,000 0 0 2,400 0
Annual Time Burden (Hours) 10,500 12,000 0 0 -1,500 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.
09/28/2005


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