Retroactive Stop Loss Special Pay

Documents and Forms

Document Name Document Type
Form DD Form 2944 Retroactive Stop Loss Special Pay Form and Instruction
DD Form 2944 Claim for Retroactive Stop Loss Payment dd2944.pdf Form and Instruction
CHANGES TO THE DD FORM 2944.doc Changes to DD Form 2944 IC Document
NDAA 2010 sec 8108.pdf NDAA 2010, Sec 8108 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Retroactive Stop Loss Special Pay	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 32 CFR 279

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD Form 2944	Claim for Retroactive Stop Loss Payment	dd2944.pdf		Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Strategic National and Theater Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 185,887	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	185,887	185,887
Annual IC Time Burden (Hours)	92,944	92,944
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Changes to DD Form 2944	CHANGES TO THE DD FORM 2944.doc	03/15/2010
NDAA 2010, Sec 8108	NDAA 2010 sec 8108.pdf	03/15/2010

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