Information Collection

Dependency Statement - Full Time Student 21-22 Years of Age

IC 247451 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⚠️ Notice: This information collection may be referencing outdated material.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-137-6 Dependency Statement - Full Time Student 21-22 Years of Age	Form and Instruction
DD-137-6 Dependency Statement - Full Time Student 21-22 Years of dd0137-6 draft 2.1.2021.pdf	Form and Instruction
DD-137-6 Dependency Statement - Full Time Student 21-22 Years of dd0137-6 draft 2.1.2021.pdf	Form and Instruction

IC Title:

Dependency Statement - Full Time Student 21-22 Years of Age

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-137-6	Dependency Statement - Full Time Student 21-22 Years of Age	dd0137-6 draft 2.1.2021.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,495

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	2,495	2,495
Annual IC Time Burden (Hours)	1,248	1,248
Annual IC Cost Burden (Dollars)	27,620	27,620

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.