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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD Form 137-7 Dependency Statement – Ward of a Court	Form and Instruction	Removed	Available
Form DD Form 137-6 Dependency Statement – Full Time Student 21-22 Years of Age	Form and Instruction	Removed	Available
Form DD Form 137-5 Dependency Statement – Incapacitated Child Over Age 21	Form and Instruction	Removed	Available
Form DD Form 137-3 Dependency Statement-Parent	Form and Instruction	Removed	Available
Form DD Form 137-3 Dependency Statements: Parent, Incapacitated Child Over Age 21, Full Time Student 21-22 Years of Age, and Ward of a Court	Form and Instruction	Removed	Available
Form DD-137-7 Dependency Statement - Ward of a Court	Form and Instruction	New	Available
Form DD-137-7 Dependency Statement - Ward of a Court	Form and Instruction	New	Available
Form DD-137-6 Dependency Statement - Full Time Student 21-22 Years of Age	Form and Instruction	New	Available
Form DD-137-6 Dependency Statement - Full Time Student 21-22 Years of Age	Form and Instruction	New	Available
Form DD-137-5 Dependency Statement - Incapacitated Child Over Age 21	Form and Instruction	New	Available
Form DD-137-5 Dependency Statement - Incapacitated Child Over Age 21	Form and Instruction	New	Repair queued
Form DD-137-3 Dependency Statement - Parent	Form and Instruction	New	Repair queued
Form DD-137-3 Dependency Statement - Parent	Form and Instruction	New	Available
0730-0014_SS-A_5.17.2021.docx	Supporting Statement A	Uploaded 2021-05-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
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	Removed	Dependency Statement – Ward of a Court
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	Removed	Dependency Statement – Full Time Student 21-22 Years of Age
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	Removed	Dependency Statement – Incapacitated Child Over Age 21
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	Removed	Dependency Statement-Parent
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	Removed
247453	Dependency Statement - Ward of a Court	Form and Instruction	New	Dependency Statement - Ward of a Court
247453	Dependency Statement - Ward of a Court	Form and Instruction	New
247451	Dependency Statement - Full Time Student 21-22 Years of Age	Form and Instruction	New	Dependency Statement - Full Time Student 21-22 Years of Age
247451	Dependency Statement - Full Time Student 21-22 Years of Age	Form and Instruction	New
247450	Dependency Statement - Incapacitated Child Over Age 21	Form and Instruction	New	Dependency Statement - Incapacitated Child Over Age 21
247450	Dependency Statement - Incapacitated Child Over Age 21	Form and Instruction	New
247448	Dependency Statement - Parent	Form and Instruction	New	Dependency Statement - Parent
247448	Dependency Statement - Parent	Form and Instruction	New

ICR Details

OMB Control No: 0730-0014	ICR Reference No: 202101-0730-001
Status: Historical Active	Previous ICR Reference No: 201712-0730-002
Agency/Subagency: DOW/DFAS	Agency Tracking No: 0730-0014
Title: Dependency Statements: Parent, Incapacitated Child Over Age 21, Full Time Student 21-22, Ward of a Court
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/30/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/18/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2024	36 Months From Approved	06/30/2021
Responses	16,371	0	14,975
Time Burden (Hours)	14,256	0	14,191
Cost Burden (Dollars)	315,640	0	305,527

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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 403
   US Code: 37 USC 406
   US Code: 37 USC 401
   US Code: 10 USC 1072
   US Code: 10 USC 1076
  

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:
	86 FR 526	01/06/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 26707	05/17/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

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

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ICR Summary of Burden

table that charts list 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	16,371	14,975	0	1,396	0	0
Annual Time Burden (Hours)	14,256	14,191	0	65	0	0
Annual Cost Burden (Dollars)	315,640	305,527	0	10,113	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Cutting Redundancy

Short Statement: This submission is an extension with change to an expired collection. The number of respondents were reevaluated and found to have increased.

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Annual Cost to Federal Government: $136,861

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? No

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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: 05/18/2021

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