Information Collection

Involuntary Allotment Application

IC 5419 under ICR 200708-0704-003 · OMB 0704-0367.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0367 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 2653 Involuntary Allotment Application Form
DD Form 2653 Involuntary Allotment Application 0704-0367 draft dd2653.pdf Form
Changes to Form.doc Changes to Form IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Involuntary Allotment Application	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 Form 2653	Involuntary Allotment Application	0704-0367 draft dd2653.pdf		Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,883	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,883	352	7,531
Annual IC Time Burden (Hours)	3,942	176	3,766
Annual IC Cost Burden (Dollars)	77,411	62,411	15,000

Documents for IC

Title	Document	Date Uploaded
Changes to Form	Changes to Form.doc	08/31/2007

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