Tender of Service for Personal Property Household Goods and Unaccompanied Baggage Shipments (DPS)

Forms and Documents

Document	Type	Status	Availability
Form DD Form 619 DD Form 619	Form	New	Repair queued
TRANSCOM_310_Alt_20140304 DRAFT.doc	Supplementary Document	Uploaded 2014-09-18	Repair queued
Supporting Statement Part A (DPS) FINAL (9-17-14).doc	Supporting Statement A	Uploaded 2014-09-18	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
213157	DD Form 619	Form	New

ICR Details

OMB Control No: 0704-0531	ICR Reference No: 201409-0704-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Tender of Service for Personal Property Household Goods and Unaccompanied Baggage Shipments (DPS)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/20/2014
	Date Received in OIRA: 09/18/2014
Terms of Clearance: DOD must report this collection as a violation in this year's Information Collection Budget.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved
Responses	227,760	0	0
Time Burden (Hours)	18,980	0	0
Cost Burden (Dollars)	294,190	0	0

---

Abstract: The DD Form 619 is the certification by the member/employee that the requested accessorial services were actually performed. The DD Form 619 is used by the Transportation Service Provider to support invoicing and payment for accessorial services performed. This was previously cleared under 0702-0022 and 0702-0018.

---

Authorizing Statute(s): US Code: 37 USC 476 Name of Law: null
   US Code: 5 USC 5726 Name of Law: null
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 19589	04/09/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 55761	09/17/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
DD Form 619	DD Form 619	Statement of Accessorial Services Performed

---

ICR Summary 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	227,760	0	0	0	0	227,760
Annual Time Burden (Hours)	18,980	0	0	0	0	18,980
Annual Cost Burden (Dollars)	294,190	0	0	0	0	294,190

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $232,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/18/2014

---