DoD Mortuary Affairs Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD Form 3122 MILITARY FUNERAL HONORS REQUEST FORM	Form and Instruction	New	Repair queued
Form DD Form 3122 DD Form 3122	Form and Instruction	New	Repair queued
Form DD Form 3116 ESCORT REPORT	Form and Instruction	New	Repair queued
Form DD Form 3116 DD Form 3116	Form and Instruction	New	Available
Form DD Form 565 STATEMENT OF RECOGNITION OF DECEASED	Form and Instruction	New	Repair queued
Form DD Form 565 DD Form 0565	Form and Instruction	New	Repair queued
Form DD Form 3050 Election for Air Transport of Remains of Casualties Dying in a Theater of Combat Operations	Form	Modified	Repair queued
Form DD Form 3049 Advanced Restorative Art of Remains	Form	Modified	Repair queued
Form DD Form 3048 Disposition of Organs Retained for Extended Examination	Form	Modified	Repair queued
Form DD Form 3047 Disposition of Remains Election Statement: Notification of Subsequently Identified Partial Remains	Form	Modified	Repair queued
Form DD Form 3046 Disposition of Remains Election Statement: Initial Notification of Identified Partial Remains	Form	Modified	Repair queued
Form DD Form 3046 DD Forms 3046-3050	Form	Modified	Repair queued
Form DD Form 3045 Statement of Disposition of Military Remains	Form	Unchanged	Repair queued
Form DD Form 3045 DD Form 3045 – Statement of Disposition of Military Remains	Form	Unchanged	Repair queued
0704-0581_SSA_1.15.2025.docx	Supporting Statement A	Uploaded 2025-01-15	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
263046	DD Form 3122	Form and Instruction	New	MILITARY FUNERAL HONORS REQUEST FORM
263046	DD Form 3122	Form and Instruction	New
263045	DD Form 3116	Form and Instruction	New	ESCORT REPORT
263045	DD Form 3116	Form and Instruction	New
263044	DD Form 0565	Form and Instruction	New	STATEMENT OF RECOGNITION OF DECEASED
263044	DD Form 0565	Form and Instruction	New
234470	DD Forms 3046-3050	Form	Modified	Election for Air Transport of Remains of Casualties Dying in a Theater of Combat Operations
234470	DD Forms 3046-3050	Form	Modified	Advanced Restorative Art of Remains
234470	DD Forms 3046-3050	Form	Modified	Disposition of Organs Retained for Extended Examination
234470	DD Forms 3046-3050	Form	Modified	Disposition of Remains Election Statement: Notification of Subsequently Identified Partial Remains
234470	DD Forms 3046-3050	Form	Modified	Disposition of Remains Election Statement: Initial Notification of Identified Partial Remains
234470	DD Forms 3046-3050	Form	Modified
234469	DD Form 3045 – Statement of Disposition of Military Remains	Form	Unchanged	Statement of Disposition of Military Remains
234469	DD Form 3045 – Statement of Disposition of Military Remains	Form	Unchanged

ICR Details

OMB Control No: 0704-0581	ICR Reference No: 202310-0704-002
Status: Active	Previous ICR Reference No: 202110-0704-008
Agency/Subagency: DOW/DODDEP	Agency Tracking No:
Title: DoD Mortuary Affairs Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/22/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/17/2025
Terms of Clearance: This collection is approved based on the revised materials provided by the Department.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2028	36 Months From Approved	07/31/2025
Responses	252,350	0	1,200
Time Burden (Hours)	63,088	0	300
Cost Burden (Dollars)	456,754	0	2,172

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Abstract: This series of forms are used to obtain information from the Person Authorized to Direct Disposition (PADD) or the Person Authorized to Effect Disposition (PAED) of remains of active-duty military, Reserve Component members, applicants, trainees, military prisoners, and others. These forms allow the Department to provide mortuary and transportation services as requested by the PADD or PAED. These forms also allow the Department to provide reimbursement, cover expenses, or otherwise provide mortuary services for decedents, including civilian employees serving with the armed forces. In order to provide reimbursement or these services, the Department requires notification by a PADD so that payment/reimbursement can be made.

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Authorizing Statute(s): US Code: 10 USC 1483 Name of Law: Prisoners of War and Interned Enemy Aliens
   US Code: 10 USC 1484 Name of Law: Pensioners, Indigent Patients, and Persons Who Die on Military Reservations
   US Code: 10 USC 1485 Name of Law: Dependents of Members of Armed Forces
   US Code: 10 USC 1481 Name of Law: Recovery, Care, and Disposition of Remains: Decedents Covered
   US Code: 10 USC 1486 Name of Law: Other Citizens of United States
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 78339	11/15/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 1987	01/10/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
DD Form 0565	DD Form 565	STATEMENT OF RECOGNITION OF DECEASED
DD Form 3045 – Statement of Disposition of Military Remains	DD Form 3045	Statement of Disposition of Military Remains
DD Form 3116	DD Form 3116	ESCORT REPORT
DD Form 3122	DD Form 3122	MILITARY FUNERAL HONORS REQUEST FORM
DD Forms 3046-3050	DD Form 3047, DD Form 3048, DD Form 3050, DD Form 3049, DD Form 3046	Disposition of Remains Election Statement: Initial Notification of Identified Partial Remains ,   Disposition of Remains Election Statement: Notification of Subsequently Identified Partial Remains ,   Disposition of Organs Retained for Extended Examination ,   Advanced Restorative Art of Remains ,   Election for Air Transport of Remains of Casualties Dying in a Theater of Combat Operations

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	252,350	1,200	0	251,150	0	0
Annual Time Burden (Hours)	63,088	300	0	62,788	0	0
Annual Cost Burden (Dollars)	456,754	2,172	0	454,582	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden increased because additional forms were added (DD565, DD3116, and DD3122).

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Annual Cost to Federal Government: $1,521,670

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/17/2025

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