Information Collection

Statement of Accessorial Services Performed (DD 619) and Statement of Accessorial Services Performed (Storage-In-Transit Delivery and Reweigh) (DD 619-1)

IC 5154 under ICR 200803-0702-002 · OMB 0702-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 619 Statement of Accessorial Services Performed (DD 619) and Statement of Accessorial Services Performed (Storage-In-Transit Delivery and Reweigh) (DD 619-1)	Form
DD Form 619 Statement of Accessorial Services Performed dd0619.pdf	Form
DD Form 619-1 Statement of Accessorial Services Performed (Storage-In- dd0619-1.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Statement of Accessorial Services Performed (DD 619) and Statement of Accessorial Services Performed (Storage-In-Transit Delivery and Reweigh) (DD 619-1)

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 Form 619	Statement of Accessorial Services Performed	dd0619.pdf		Yes	Yes	Fillable Fileable
Form	DD Form 619-1	Statement of Accessorial Services Performed (Storage-In-Transit Delivery and Reweigh)	dd0619-1.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 989

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 77 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	434,171	-7,506	441,677
Annual IC Time Burden (Hours)	36,181	-34,367	70,548
Annual IC Cost Burden (Dollars)	547,443	547,443	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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