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

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

OMB: 0704-0030

IC ID: 5249

Information Collection (IC) Details

View Information Collection (IC)

Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses
 
No Modified
 
Required to Obtain or Retain Benefits
 

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

Defense and National Security

 

3,200 0
   
Individuals or Households
 
   75 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,200 0 0 750 0 2,450
Annual IC Time Burden (Hours) 550 0 0 125 0 425
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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