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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.