Information Collection

Waiver/Remission of Indebtedness Application

IC 5638 under ICR 200905-0730-002 · OMB 0730-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0730-0009 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 2789 Waiver/Remission of Indebtedness Application Form
DD Form 2789 Waiver/Remission of Indebtedness Application dd2789.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Waiver/Remission of Indebtedness 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 2789	Waiver/Remission of Indebtedness Application	dd2789.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: 7,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,000	-1,400	8,400
Annual IC Time Burden (Hours)	10,100	-400	10,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.