Information Collection

Custodianship certificate to Support Claim on Behalf of Minor Children of Deceased Members of the Armed Forces

IC 5641 under ICR 201701-0730-001 · OMB 0730-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0730-0010 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2790 Custodianship certificate to Support Claim on Behalf of Minor Children of Deceased Members of the Armed Forces	Form and Instruction
Request for more Information Memo_Final.doc	Other-Letter to Request Missing Info
DD Form 2790 Custodianship Certification to Support Claims on Behalf DD Form 2790_Draft.pdf www.dtic.mil/whs/directives/forms/forminfo/forminfopage2345.html	Form and Instruction

IC Title:

Custodianship certificate to Support Claim on Behalf of Minor Children of Deceased Members of the Armed Forces

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 2790	Custodianship Certification to Support Claims on Behalf of Minor Children of Deceased Members of the Armed Forces	DD Form 2790_Draft.pdf	http://www.dtic.mil/whs/directives/forms/forminfo/forminfopage2345.html	Yes	No	Fillable Fileable
Other-Letter to Request Missing Information			Request for more Information Memo_Final.doc		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: T7347b, "Defense Military Retiree and Annuitant Pay System"

FR Citation: 74 FR 696

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	300	0	300
Annual IC Time Burden (Hours)	50	-70	120
Annual IC Cost Burden (Dollars)	363	363	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.