Dependency Statements: Parent, Incapacitated Child Over Age 21, Full Time Student 21-22, Ward of a Court

Forms and Documents

Document Name	Status
Form DD Form 137-7 Dependency Statements: Parent, Incapacitated Child Over Age 21, Full Time Student 21-22 Years of Age, and Ward of a Court Form and Instruction	Modified
Supporting Statement A - DD Forms 137 - 0730-0014.docx Supporting Statement A	2017-12-27
DoDFMR Vol 7A, Ch 26.pdf Supplementary Document	2014-06-25
T7344.pdf Supplementary Document	2014-06-25
T7340.pdf Supplementary Document	2014-06-25
M01040-3.pdf Supplementary Document	2014-06-25

IC Document Collections

IC ID	Document Title	Status
5649	Dependency Statements: Parent, Incapacitated Child Over Age 21, Full Time Student 21-22 Years of Age, and Ward of a Court Form and Instruction	Modified

ICR Details

OMB Control No: 0730-0014	ICR Reference No: 201712-0730-002
Status: Active	Previous ICR Reference No: 201406-0730-001
Agency/Subagency: DOD/DFAS	Agency Tracking No:
Title: Dependency Statements: Parent, Incapacitated Child Over Age 21, Full Time Student 21-22, Ward of a Court
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/07/2018
	Date Received in OIRA: 12/28/2017
Terms of Clearance: This collection is approved based on the revised materials provided by the Department. DOD should report this collection in the Information Collection Budget.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved	10/31/2017
Responses	14,975	0	20,969
Time Burden (Hours)	14,191	0	17,474
Cost Burden (Dollars)	305,527	0	360,667

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Abstract: Information is used to certify dependency or obtain information to determine entitlement to Basic Allowance for Housing (BAH) at the dependents rate, travel allowance, or Uniformed Services Identification and Privilege (USIP) card. Information regarding a parent, an incapacitated child over age 21, a full time student 21-22 years of age or a ward of a court is provided by the military member or by another individual who may be a member of the public.

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Authorizing Statute(s): US Code: 37 USC 401 Name of Law: null
   US Code: 37 USC 403 Name of Law: null
   US Code: 37 USC 406 Name of Law: null
   US Code: 10 USC 1072 Name of Law: null
   US Code: 10 USC 1076 Name of Law: null
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 44394	09/22/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 67271	12/27/2017
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Dependency Statements: Parent, Incapacitated Child Over Age 21, Full Time Student 21-22 Years of Age, and Ward of a Court	DD Form 137-5, DD Form 137-6, DD Form 137-3, DD Form 137-7	Dependency Statement – Ward of a Court ,   Dependency Statement-Parent ,   Dependency Statement – Incapacitated Child Over Age 21 ,   Dependency Statement – Full Time Student 21-22 Years of Age

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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	14,975	20,969	0	-5,994	0	0
Annual Time Burden (Hours)	14,191	17,474	0	-3,283	0	0
Annual Cost Burden (Dollars)	305,527	360,667	0	-55,140	0	0

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a reinstatement with change to an expired collection. Number of respondents was reevaluated and a better approach to identifying the numbers was used, causing a decrease in forms submitted. Also, one of the forms that comprised the previous OMB submission is no longer being used.

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Annual Cost to Federal Government: $124,292

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

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Common Form ICR:  No

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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: 12/28/2017

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