Waiver/Remission of Indebtedness Application

ICR 201805-0730-001

OMB: 0730-0009

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2018-06-01
Supplementary Document
2018-05-16
IC Document Collections
ICR Details
0730-0009 201805-0730-001
Active 200905-0730-002
DOD/DFAS
Waiver/Remission of Indebtedness Application
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/02/2018
Retrieve Notice of Action (NOA) 06/01/2018
DOD must report this collection as a violation in the Information Collection Budget.
  Inventory as of this Action Requested Previously Approved
07/31/2021 36 Months From Approved
4,500 0 0
6,000 0 0
43,500 0 0

Information is used to determine an individual's entitlement to relief from a claim owed the U.S. Government. Government claims examiners use information provided to determine whether there is indication of fraud, misrepresentation, and fault on the part of the individual, or whether it's in the best interest of the government to collect debt.

US Code: 5 USC 5584 Name of Law: Claims for overpayment of pay and allowances, and of travel, transportation and relocation expense
   US Code: 10 USC 2774 Name of Law: Claims for overpayment of pay and allowances and of travel and transportation allowances
   US Code: 10 USC 4837 Name of Law: Settlement of accounts, remission or cancellation of indebtedness of members
   US Code: 10 USC 6161 Name of Law: Settlement of accounts: remission or cancellation of indebtedness of members
   US Code: 10 USC 9837 Name of Law: Settlement of accounts: remission or cancellation of indebtedness of members
   US Code: 32 USC 716 Name of Law: Claims for overpayment of pay and allowances, and travel and transportation allowances
  
None

Not associated with rulemaking

  83 FR 8658 02/28/2018
83 FR 25444 06/01/2018
No

1
IC Title Form No. Form Name
Waiver/Remission of Indebtedness Application DD2789 WAIVER/REMISSION OF INDEBTEDNESS APPLICATION

  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 4,500 0 0 -2,500 0 7,000
Annual Time Burden (Hours) 6,000 0 0 -4,100 0 10,100
Annual Cost Burden (Dollars) 43,500 0 0 43,500 0 0
No
Yes
Miscellaneous Actions
Number of users of the form as decreased. Electronic subbmission has increased from 20% to 80%. Annual Cost to US Government has decreased.

$148,185
No
    Yes
    Yes
No
No
No
Uncollected
Reginald Lucas 571 372-0403 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/01/2018


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