Survivor Benefit Plan (SBP)/Reserve Component (RC) SBP Request for Deemed Election

Forms and Documents

Document	Type	Status	Availability
Form DD Form 2656-10 Survivor Benefit Plan (SBP)/Reserve Component (RC) SBP Request for Deemed Election	Form	New	Repair queued
0704-TBD DD 2656-10 Supporting Statement Final.doc	Supporting Statement A	Uploaded 2008-01-30	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
183540	Survivor Benefit Plan (SBP)/Reserve Component (RC) SBP Request for Deemed Election	Form	New

ICR Details

OMB Control No: 0704-0448	ICR Reference No: 200801-0704-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Survivor Benefit Plan (SBP)/Reserve Component (RC) SBP Request for Deemed Election
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/08/2008
	Date Received in OIRA: 02/01/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2011	36 Months From Approved
Responses	1,200	0	0
Time Burden (Hours)	400	0	0
Cost Burden (Dollars)	8,408	0	0

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Abstract: Title 10, USC, 1450(f)(3) provides that an eligible former spouse may request that an election under the Survivor Benefit Plan (SBP) or Reserve Component SBP be deemed on behalf of the member within one year of becoming eligible for such benefits. The statute requires the Secretary of Defense to prescribe the manner in which the eligible former spouse shall submit the deemed election request. The DD Form 2656-10 will become the prescribed manner to submit such request. The data are necessary to identify the spouse and member in order to establish the deemed election.

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Authorizing Statute(s): US Code: 10 USC 1450 Name of Law: null
  

Citations for New Statutory Requirements: US Code: 10 USC 1450 Name of Law: null

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 48989	08/27/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 6130	02/01/2008
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Survivor Benefit Plan (SBP)/Reserve Component (RC) SBP Request for Deemed Election	DD Form 2656-10	Survivor Benefit Plan (SBP)/Reserve Component (RC) SBP Request for Deemed Election

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ICR Summary 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	1,200	0	1,200	0	0	0
Annual Time Burden (Hours)	400	0	400	0	0	0
Annual Cost Burden (Dollars)	8,408	0	8,408	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: New Collection

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Annual Cost to Federal Government: $15,378

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

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Common Form ICR:  No

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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: 02/01/2008

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