Information Collection

Personal Check Cashing Agreement

IC 5631 under ICR 202104-0730-003 · OMB 0730-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0730-0005 can be found here:

Documents and Forms

Document Name Document Type
Form DD-2761 Personal Check Cashing Agreement Form
DD-2761 Personal Check Cashing Agreement dd2761 draft.pdf www.esd.whs.mil/Directives/forms/ Form
DD-2761 Personal Check Cashing Agreement dd2761 draft.pdf www.esd.whs.mil/Directives/forms/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Personal Check Cashing Agreement	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD-2761	Personal Check Cashing Agreement	dd2761 draft.pdf	https://www.esd.whs.mil/Directives/forms/	Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,020	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,020	-3,728	4,748
Annual IC Time Burden (Hours)	255	-932	1,187
Annual IC Cost Burden (Dollars)	1,849	-15,837	17,686

Documents for IC

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.