Data for Payment of Retired Personnel

Forms and Documents

Document Name	Status
Form DD 2656 Data For Payment of Retired Personnel Form and Instruction	New
Memo to OIRA (PRA Emergency Submission) 12-14-17.pdf Supplementary Document	2017-12-15
Memo to OIRA (PRA Emergency).pdf Supplementary Document	2017-11-30
Supporting Statement A - 0704-AAJS - Revised - 12-14-17.docx Supporting Statement A	2017-12-15
(1) DoD OGC Legal Review Emergency Approval Form DD 2656.pdf Supplementary Document	2017-11-30

IC Document Collections

IC ID	Document Title	Status
229237	Data For Payment of Retired Personnel Form and Instruction	New

ICR Details

OMB Control No: 0704-0569	ICR Reference No: 201711-0704-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOD/DODDEP	Agency Tracking No: 0704-AAJS
Title: Data for Payment of Retired Personnel
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 12/31/2017
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/02/2018
	Date Received in OIRA: 11/30/2017
Terms of Clearance: This collection is approved based on the revised materials provided by the Department. Should DOD want to continue to use this collection for more than 6 months, it will need to follow the regular 60 and 30 day notice process under the Paperwork Reduction Act.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	6 Months From Approved
Responses	65,000	0	0
Time Burden (Hours)	16,250	0	0
Cost Burden (Dollars)	428,025	0	0

---

Abstract: To collect information needed to establish a retired/retainer pay account for members of the Uniformed Services who are retiring or reaching the age of eligibility to receive retired pay, including designation of beneficiaries for unpaid retired pay, state tax withholding election, lump sum of retired pay election, information on dependents, and election of Survivor Benefit Plan coverage.

Emergency Justfication: The purpose for form DD 2656 is to collect information needed to establish a retired pay account for members of the Unformed Services who are retiring or reaching the age of eligibility to receive retired pay. Due to the implementation of the DoD’s Blended Retirement System, changes to form DD 2656 are required. Implementation of the Blended Retirement System occurs on 1 January 2018 in accordance Section 635 of Public Law 114-92. The DoD cannot reasonably meet the normal clearance procedures for updates to DD 2656 due to this statutory requirement. Therefore, emergency processing is necessary.

---

Authorizing Statute(s): US Code: 10 USC Section 1415 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
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 56818	11/30/2017
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
Data For Payment of Retired Personnel	DD 2656	Data for Payment of Retired Personnel

---

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	65,000	0	0	65,000	0	0
Annual Time Burden (Hours)	16,250	0	0	16,250	0	0
Annual Cost Burden (Dollars)	428,025	0	0	428,025	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This is an existing collection currently in use without an OMB Control Number. DD Form 2656 was last revised in 2009. An update to the form is required by legislation enacting a lump sum of retired pay option for members covered by the Blended Retirement System. This requirement is found in Section 1415 of Title 10, U.S.C.

---

Annual Cost to Federal Government: $380,850

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 11/30/2017

---