Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Internment Expenses

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD-2065 Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses	Form	Modified	Available
0703-0030 SS Part A.doc	Supporting Statement A	Uploaded 2006-10-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5249	Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses	Form	Modified

ICR Details

OMB Control No: 0704-0030	ICR Reference No: 200608-0704-003
Status: Historical Active	Previous ICR Reference No: 200304-0704-002
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Internment Expenses
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/30/2006
	Date Received in OIRA: 08/31/2006
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2009	36 Months From Approved	11/30/2006
Responses	3,200	0	2,450
Time Burden (Hours)	550	0	425
Cost Burden (Dollars)	0	0	0

---

Abstract: 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/internment expenses. The information is used to adjudicate claims for reimbursement of these expenses.

---

Authorizing Statute(s): US Code: 10 USC 1482 Name of Law: null
   US Code: 5 USC 8134 Name of Law: null
   US Code: 10 USC 1485 Name of Law: null
   US Code: 10 USC 1486 Name of Law: null
   US Code: 5 USC 5742 Name of Law: null
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 32932	06/07/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 51585	08/30/2006
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses	DD-2065, DD Form 1375	Disposition of Remains ,   Request for Paymnet of Funeral and/or Interment Expenses

---

ICR Summary of Burden

table that charts list of burden

	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	3,200	2,450	0	0	750	0
Annual Time Burden (Hours)	550	425	0	0	125	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden increased by 125 hours due to an increase in the number of respondents for the DD Form 1375.

---

Annual Cost to Federal Government: $64,400

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/31/2006

---