Information Collection

Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses

IC 5249 under ICR 201602-0704-001 · OMB 0704-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 1375 Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses	Form
DD Form 1375 Request for Payment of Funeral and/or Interment Expenses dd1375_20151214.PDF	Form
DD Form 2065 Disposition of Remains - Reimburseable Basis dd2065_20151214.PDF	Form

IC Title:

Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses

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 1375	Request for Payment of Funeral and/or Interment Expenses	dd1375_20151214.PDF		No		Paper Only
Form	DD Form 2065	Disposition of Remains - Reimburseable Basis	dd2065_20151214.PDF		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: Defense Casualty Information Processing System (DCIPS)

FR Citation: 76 FR 24865

Number of Respondents: 2,450

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,450	-750	3,200
Annual IC Time Burden (Hours)	1,224	674	550
Annual IC Cost Burden (Dollars)	12,985	12,985	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.