Information Collection

Application for Former Spouse Payments from Retired Pay

IC 5635 under ICR 201307-0730-001 · OMB 0730-0008.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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 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 %

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	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

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.