Information Collection

Application for Former Spouse Payments from Retired Pay

IC 5635 under ICR 202003-0730-002 · OMB 0730-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0730-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2293 Application for Former Spouse Payments from Retired Pay	Form and Instruction
M-4.doc	Other-Letter to Member
M-33.doc	Other-Letter to Claimant
M-34.doc	Other-Rejection Letter to Requester
REJECT PARAGRAPHS.doc	Other-Rejection Paragraphs for Rejec
DD Form 2293 Application for Former Spouse Payments From Retired Pay DD Form 2293 20170118.pdf	Form and Instruction

IC Title:

Application for Former Spouse Payments from Retired Pay

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	DD Form 2293	Application for Former Spouse Payments From Retired Pay	DD Form 2293 20170118.pdf	Yes	No	Fillable Printable
Other-Letter to Member			M-4.doc	No		Paper Only
Other-Letter to Claimant			M-33.doc	No		Paper Only
Other-Rejection Letter to Requester			M-34.doc	No		Paper Only
Other-Rejection Paragraphs for Rejection Letter			REJECT PARAGRAPHS.doc	No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: Defense Military Retiree and Annuity Pay System

FR Citation: 74 FR 696

Number of Respondents: 25,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	12,500	12,500
Annual IC Cost Burden (Dollars)	90,625	90,625

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.