Information Collection

Statement of Claimant Requesting Recertified Check

IC 5624 under ICR 201401-0730-002 · OMB 0730-0002.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2660 Statement of Claimant Requesting Recertified Check	Form and Instruction
DD Form 2660 Statement of Claimant Requesting Replacement Check DD2660 - REVISED - FINAL 3-31-14.pdf	Form and Instruction

IC Title:

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 and Instruction	DD Form 2660	Statement of Claimant Requesting Replacement Check	DD2660 - REVISED - FINAL 3-31-14.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: T7901 - Standard Finance and Accounting Payment System

FR Citation: 72 FR 68865

Number of Respondents: 38,157

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	38,157	-9,339	47,496
Annual IC Time Burden (Hours)	3,180	-778	3,958
Annual IC Cost Burden (Dollars)	47,382	-117,785	165,167

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.