Information Collection

Claim Certification and Voucher for Death Gratuity Payment

IC 186640 under ICR 201201-0730-002 · OMB 0730-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0730-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 397 Claim Certification and Voucher for Death Gratuity Payment	Form
DD Form 397 Claim Certification and Voucher for Death Gratuity Payme dd0397.pdf	Form
07a_36.pdf DoD 7000.14-R, Vol 7A, Chapter 36	IC Document

IC Title:

Claim Certification and Voucher for Death Gratuity Payment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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 397	Claim Certification and Voucher for Death Gratuity Payment	dd0397.pdf		Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: T7340 Defense Joint Military Pay System-Active Component

FR Citation: 71 FR 14179

Number of Respondents: 2,416

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,416	2,416
Annual IC Time Burden (Hours)	1,208	1,208
Annual IC Cost Burden (Dollars)	27,675	27,675

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DoD 7000.14-R, Vol 7A, Chapter 36	07a_36.pdf	09/18/2008

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