Information Collection

Involuntary Allotment Application

IC 5419 under ICR 201107-0704-005 · OMB 0704-0367.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0367 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2653 Involuntary Allotment Application	Form
DD Form 2653 Involuntary Allotment Application DD 2653 draft.pdf	Form

IC Title:

Involuntary Allotment 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 2653	Involuntary Allotment Application	DD 2653 draft.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: 6,300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	6,300	-1,583	7,883
Annual IC Time Burden (Hours)	3,150	-792	3,942
Annual IC Cost Burden (Dollars)	12,649	-64,762	77,411

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.