Application for Former Spouse Payments from Retired Pay

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0730-0008 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 2293 Application for Former Spouse Payments from Retired Pay Form
DD Form 2293 Application for Former Spouse Payments From Retired Pay dd2293.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Former Spouse Payments from Retired 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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD Form 2293	Application for Former Spouse Payments From Retired Pay	dd2293.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: 29,127	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	29,127	2,037	27,090
Annual IC Time Burden (Hours)	7,282	510	6,772
Annual IC Cost Burden (Dollars)	164,276	164,276	0

Documents for IC

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.