Tender of Service for Personal Property Household Goods and Unaccompanied Baggage Shipments (DPS)

ICR 202202-0704-001

OMB: 0704-0531

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2022-03-28
Supporting Statement A
2022-03-30
IC Document Collections
IC ID
Document
Title
Status
213157 Modified
ICR Details
0704-0531 202202-0704-001
Received in OIRA 201902-0704-008
DOD/DODDEP
Tender of Service for Personal Property Household Goods and Unaccompanied Baggage Shipments (DPS)
Revision of a currently approved collection   No
Regular 03/30/2022
  Requested Previously Approved
36 Months From Approved 03/31/2022
229,250 227,760
11,463 18,980
191,997 294,190

The DD Form 619 is the certification by the member/employee that the requested accessorial services were actually performed. The DD Form 619 is used by the Transportation Service Provider to support invoicing and payment for accessorial services performed.

US Code: 5 USC 5726
   US Code: 37 USC 476
  
None

Not associated with rulemaking

  87 FR 4003 01/26/2022
87 FR 17273 03/28/2022
No

1
IC Title Form No. Form Name
DD Form 619 DD Form 619 Statement of Accessorial Services Performed

  Total Request 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 229,250 227,760 0 1,490 0 0
Annual Time Burden (Hours) 11,463 18,980 0 -7,517 0 0
Annual Cost Burden (Dollars) 191,997 294,190 0 -102,193 0 0
No
Yes
Miscellaneous Actions
The burden has decreased since the previous approval due to a more accurate calculation.

$191,996
No
    No
    No
No
No
No
No
Katelyne Ortiz 618 229-1180 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/30/2022


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