Information Collection Request

Statement of Claimant Requesting Recertified Check

ICR 201401-0730-002 · OMB 0730-0002 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DD Form 2660 Statement of Claimant Requesting Recertified Check Form and Instruction Modified Available
PIA for 0730-0002.pdf Supplementary Document Uploaded 2014-03-31 Available
SSN Justification Memo.pdf Supplementary Document Uploaded 2014-01-31 Available
Supporting Statement - REVISED 3-27-14.doc Supporting Statement A Uploaded 2014-03-31 Available
DoDFMR,_Vol_05_08.pdf Supplementary Document Uploaded 2014-01-31 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5624 Statement of Claimant Requesting Recertified Check Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2017 36 Months From Approved 03/31/2014
38,157 0 47,496
3,180 0 3,958
47,382 0 165,167





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Statement of Claimant Requesting Recertified Check DD Form 2660 Statement of Claimant Requesting Replacement Check

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 38,157 47,496 0 0 -9,339 0
Annual Time Burden (Hours) 3,180 3,958 0 0 -778 0
Annual Cost Burden (Dollars) 47,382 165,167 0 0 -117,785 0


Reginfo record details
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