Information Collection

Retroactive Stop Loss Special Pay

IC 190960 under ICR 201003-0704-004 · OMB 0704-0464.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.