Information Collection

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

IC 5649 under ICR 201712-0730-002 · OMB 0730-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0730-0014 can be found here:

Documents and Forms

Document Name Document Type
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
DD Form 137-3 Dependency Statement-Parent dd0137-3 20170816.pdf Form and Instruction
DD Form 137-5 Dependency Statement – Incapacitated Child Over Age 21 dd0137-5 20170718.pdf Form and Instruction
DD Form 137-6 Dependency Statement – Full Time Student 21-22 Years of dd0137-6 20170718.pdf Form and Instruction
DD Form 137-7 Dependency Statement – Ward of a Court dd0137-7 20170718.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Dependency Statements: Parent, Incapacitated Child Over Age 21, Full Time Student 21-22 Years of Age, and Ward of a Court	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD Form 137-7	Dependency Statement â Ward of a Court	dd0137-7 20170718.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	DD Form 137-3	Dependency Statement-Parent	dd0137-3 20170816.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	DD Form 137-5	Dependency Statement â Incapacitated Child Over Age 21	dd0137-5 20170718.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	DD Form 137-6	Dependency Statement â Full Time Student 21-22 Years of Age	dd0137-6 20170718.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: Defense Joint Military Pay System-Active Component	FR Citation: 79 FR 57541

Number of Respondents: 14,975	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	14,975	-5,994	20,969
Annual IC Time Burden (Hours)	14,191	-3,283	17,474
Annual IC Cost Burden (Dollars)	305,527	-55,140	360,667

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.