Information Collection

Dependency Statement - Parent

IC 247448 under ICR 202101-0730-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form DD-137-3 Dependency Statement - Parent	Form and Instruction
DD-137-3 Dependency Statement - Parent dd0137-3 draft 2.1.2021.pdf	Form and Instruction
DD-137-3 Dependency Statement - Parent dd0137-3 draft 2.1.2021.pdf	Form and Instruction

IC Title:

Dependency Statement - Parent

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD-137-3	Dependency Statement - Parent	dd0137-3 draft 2.1.2021.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,925

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,925	6,925
Annual IC Time Burden (Hours)	6,925	6,925
Annual IC Cost Burden (Dollars)	153,320	153,320

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.