Information Collection

Waiver/Remission of Indebtedness Application

IC 5638 under ICR 201805-0730-001 · OMB 0730-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0730-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD2789 Waiver/Remission of Indebtedness Application	Form and Instruction
DENIAL sample.docx	Other-Letter
DOHA Appeal sample.docx	Other-Letter
DOHA forwarding letter-regular.doc	Other-Letter
Incomplete package template.docx	Other-Letter
INELIGIBLE sample.docx	Other-Letter
OGC-DOHA APPROVAL sample.docx	Other-Letter
PARTIAL WAIVER sample.docx	Other-Letter
REBUTTAL LETTER sample.docx	Other-Letter
SOL sample.docx	Other-Letter
DD2789 WAIVER/REMISSION OF INDEBTEDNESS APPLICATION dd2789_20180205.PDF	Form and Instruction

IC Title:

Waiver/Remission of Indebtedness Application

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD2789	WAIVER/REMISSION OF INDEBTEDNESS APPLICATION	dd2789_20180205.PDF	Yes	Yes	Fillable Fileable Signable
Other-Letter			DENIAL sample.docx	No		Paper Only
Other-Letter			DOHA Appeal sample.docx	No		Paper Only
Other-Letter			DOHA forwarding letter-regular.doc	No		Paper Only
Other-Letter			Incomplete package template.docx	No		Paper Only
Other-Letter			INELIGIBLE sample.docx	No		Paper Only
Other-Letter			OGC-DOHA APPROVAL sample.docx	No		Paper Only
Other-Letter			PARTIAL WAIVER sample.docx	No		Paper Only
Other-Letter			REBUTTAL LETTER sample.docx	No		Printable Only
Other-Letter			SOL sample.docx	No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	4,500	-2,500	7,000
Annual IC Time Burden (Hours)	6,000	-4,100	10,100
Annual IC Cost Burden (Dollars)	43,500	43,500	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.