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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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 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 %

table that charts list of burden
	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

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.