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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.