Information Collection

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

IC 5249 under ICR 200608-0704-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form DD-2065 Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses	Form
DD-2065 Disposition of Remains dd2065.pdf	Form
DD Form 1375 Request for Paymnet of Funeral and/or Interment Expenses dd1375.pdf	Form
AUTHORITY LINKS.doc Authority Links	IC Document
0704-0030 Signed 83-I.pdf 0704-0030 Signed 83-I.pdf	IC Document

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD-2065	Disposition of Remains	dd2065.pdf		Yes	Yes	Fillable Fileable
Form	DD Form 1375	Request for Paymnet of Funeral and/or Interment Expenses	dd1375.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,200	750	2,450
Annual IC Time Burden (Hours)	550	125	425
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authority Links	AUTHORITY LINKS.doc	08/30/2006
0704-0030 Signed 83-I.pdf	0704-0030 Signed 83-I.pdf	08/31/2006

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