Information Collection Request
Physician Certificate for Child Annuitant
ICR 202306-0730-003 · OMB 0730-0011 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 SSN Justification DD2828_20230523.pdf |
Supplementary Document | Uploaded 2023-06-30 | Repair queued |
 0730-0011_SSA_6.30.23.docx |
Supporting Statement A | Uploaded 2023-06-30 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 5643 |  Physician Certificate for Child Annuitant |
Other-Request form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOD/DFAS |
| OMB Control No | 0730-0011 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202004-0730-004 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |