Waiver/Remission of Indebtedness Application

Forms and Documents

Document Name	Status
Form DD Form 2789 Waiver/Remission of Indebtedness Application Form	Modified
0730-0009 SUP.doc Supporting Statement A	2009-05-31

IC Document Collections

IC ID	Document Title	Status
5638	Waiver/Remission of Indebtedness Application Form	Modified

ICR Details

OMB Control No: 0730-0009	ICR Reference No: 200905-0730-002
Status: Historical Active	Previous ICR Reference No: 200509-0730-002
Agency/Subagency: DOD/DFAS	Agency Tracking No:
Title: Waiver/Remission of Indebtedness Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/21/2009
	Date Received in OIRA: 05/31/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2012	36 Months From Approved	07/31/2009
Responses	7,000	0	8,400
Time Burden (Hours)	10,100	0	10,500
Cost Burden (Dollars)	0	0	0

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Abstract: Information is used to determine an individual's entitlement to relief from a claim owed the U.S. Government. Government claims examiners use information provided to determine whether there is indication of fraud, misrepresentation, and fault on the part of the individual, or whether it's in the best interest of the government to collect debt.

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Authorizing Statute(s): US Code: 5 USC 5584 Name of Law: null
   US Code: 10 USC 2774 Name of Law: null
   US Code: 10 USC 4837 Name of Law: null
   US Code: 10 USC 6161 Name of Law: null
   US Code: 10 USC 9837 Name of Law: null
   US Code: 32 USC 716 Name of Law: null
  

Citations for New Statutory Requirements: None

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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:
	73 FR 71622	11/25/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 71622	11/25/2008
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
Waiver/Remission of Indebtedness Application	DD Form 2789	Waiver/Remission of Indebtedness Application

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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	7,000	8,400	0	-1,400	0	0
Annual Time Burden (Hours)	10,100	10,500	0	-400	0	0
Annual Cost Burden (Dollars)	0	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Decrease in respondents. Respondents no longer in an active pay status are only required to complete page 1 of the form.

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Annual Cost to Federal Government: $442,750

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)? No

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: 05/31/2009

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