SUPPORTING STATEMENT - PART A
Mortuary Affairs Forms – 0704-0581
Summary of Changes:
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1. Need for the Information Collection
The information collection requirement is necessary to obtain and document the selection (as applicable) of the Person Authorized to Direct Disposition (PADD), who is authorized to direct disposition of human remains of decedents. As stated in 10 U.S. Code § 1481, ‘Recovery, Care, and Disposition of Remains: Decedents Covered,’ the Department of Defense may provide for the recovery, care, and disposition of the remains for active-duty Regulars, Reserve Component members, applicants, trainees, military prisoners, and others. The Department of Defense is further authorized, per § 1482 and § 1482a 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 of Defense is charged with electing and documenting the elections of Persons Authorized to Direct Disposition (PADD) of the remains, to whom the payment/reimbursement is made.
Additional authorities are provided in the following laws:
Title 10 U.S. Code § 1483 – Prisoners of War and Interned Enemy Aliens
Title 10 U.S. Code § 1484 – Pensioners, Indigent Patients, and Persons Who Die on Military Reservations
Title 10 U.S. Code § 1485 – Dependents of Members of Armed Forces
Title 10 U.S. Code § 1486 – Other Citizens of United States
Title 10 U.S. Code § 1491 – Funeral honors functions at funerals for veterans
2. Use of the Information
The primary respondent for this collection, the Person Authorized to Direct Disposition (PADD) is identified by the service member on the DD Form 93, “Record of Emergency Data.” (0704-0649). In the event that a military service member becomes a deceased casualty, the PADD is responsible for providing decisions concerning transportation of remains (e.g. government contracted vice commercial air for combat deaths), preparation of the remains and disposition of the remains of the decedent. Only the following persons may be named as a PADD: surviving spouse, blood relative of legal age, or adoptive relative of the decedent. If neither of these three can be found, a person standing in loco parentis may be named.
The Service Casualty Office and DoD mortuaries use the information provided in this collection to document the election of the PADD for the preparation, transportation, and final disposition of the remains, as applicable. Depending on the circumstances, a PADD may be asked to complete up to six forms. All PADDs will complete the DD Form 3045, but may additionally be asked to provide information on the DD Forms 565, 3046, 3047, 3048, 3049, and/or 3050. The DD Forms 3116 and 3122 are completed by a Service member and a funeral service provider respectively. A description of each form has been provided to clarify under which circumstances each form may be used.
The DD Form 565, “Statement of Recognition of Deceased,” is a form to assist mortuary personnel with the identification of the remains of deceased personnel, family members, civilians, or other personnel that may be in the care of the Department of Defense. Identification of deceased persons is a critical step in providing proper disposition of the remains. Information collected includes information on the respondent and a witness.
The DD Form 3116, “Escort Report,” is a report filed with Service casualty and mortuary affairs offices with information regarding the transportation of human remains of deceased active duty personnel to their place of interment. The escort also reports on the condition of remains, casket and any incident during transportation to assist the Service casualty and mortuary affairs offices in their support of the person authorized to direct disposition of the remains. The report also informs the Service casualty and mortuary affairs offices of any issue needed to be resolved with the receiving funeral home.
The DD Form 3122, “Military Funeral Honors Request Form,” is an official request for military funeral honors at the funeral or memorial of an eligible deceased veteran. A request for military funeral honors for an eligible veteran must be supported by law. The form will be sent to military funeral honors coordinators for their review, analysis for eligibility, scheduling, and to capture costs to provide the required military funeral honors elements. The form contains contact information for the next-of-kin requesting military funeral honors.
Upon the death of a service member, the PADD is notified by the Service Casualty Office and provided a mortuary briefing. They will complete the DD Form 3045, “Statement of Disposition of Military Remains”, which provides a written declaration as to their intent, wishes, and directions for the Service to ensure the expedition embalming/preparation, restoration, and return of remains of an active duty service member. The form is presented to the PADD when discussing mortuary entitlements by the Casualty Assistance Officer, Casualty Assistance Calls Officer or Mortuary Officer during the mortuary briefing. A PADD may additionally relinquish their rights as PADD and identify a new PADD to whom the authority to direct disposition passes to.
In DD Form 3046, “Disposition of Remains Election Statement Initial Notification of Identified Partial Remains,” the Department documents the PADD’s elections about the disposition of partial remains of a service member, and on notification of options of identified additional remains. This form was created to allow the family the right to be notified of the condition of the remains, and allow them to make the decision to be notified of subsequent additional remains, or to relinquish the disposition of additional remains to the Department. Without this form the family may not have the option to have the Department make disposition of additional remains and would be notified after identification of additional remains.
In DD Form 3047, “Disposition of Remains Election Statement Notification of Subsequently Identified Partial Remains,” the Department documents the PADD’s elections about the disposition of subsequently identified partial remains of a service member, and on the notification options of identified additional remains. This form was created to allow the family to make the decision and indicate their desire to be notified of subsequent identification of additional remains, or to relinquish the disposition of additional remains to the Department. Without this form the family would not have the option to have the Department make disposition of additional remains and would be notified of the identification of each additional remains.
DD Form 3048, “Disposition of Organs Retained for Extended Examination,” documents the PADD/ Person Authorized to Effect Disposition (PAED) decisions about the notification and disposition of organs retained by the Armed Forces Medical Examiner.
DD Form 3049, “Advanced Restorative Art of Remains,” documents the PADD’s decision to authorize the service to embalm and perform post-mortem reconstructive surgery on the deceased.
DD Form 3050, “Election for Air Transportation of Remains of Casualties Dying Overseas and Returned Through Dover Air Force Base” documents the PADD’s election for the type of air transportation for the remains of a service member to the receiving funeral home or interment site.
No invitations or other communications are used by the Service Casualty Office for these collections. All completed forms are included in the official Individual Deceased Personnel File of the decedent and uploaded into the Defense Casualty Information Processing System.
3. Use of Information Technology
25% of all responses are collected electronically. The forms are designed for both electronic and paper submission to meet the needs of the PADD/PAEDs and the Service representative. However, as the forms are typically completed at the PADD’s residence, electronic verification of a signature is not always practical as they may not be in possession of a DoD Common Access Card used for digital signature. In some cases, the form is completed at a DoD mortuary where the form could be completed electronically and printed for verification and signature.
4. Non-duplication
The information obtained through this collection is unique and is not already available for use or adaptation from another cleared source.
5. Burden on Small Businesses
This information collection does not impose a significant economic impact on a substantial number of small businesses or entities.
6. Less Frequent Collection
If this information is not collected, it is not possible for the Military Departments to provide services in accordance with the election of a PADD. Information is only collected as required during a time of need, based on the circumstances of the death and the condition of the decedent. The collection is necessary to facilitate the proper mortuary services as designated by the Secretary of Defense.
7. Paperwork Reduction Act Guidelines
This collection of information does not require collection to be conducted in a manner inconsistent with the guidelines delineated in 5 CFR 1320.5(d)(2).
8. Consultation and Public Comments
Part A: PUBLIC NOTICE
A 60-Day Federal Register Notice (FRN) for the collection published on Friday, November 22, 2024. The 30-Day FRN citation is 89 FRN 92665.
No comments were received during the 60-Day Comment Period.
A 30-Day Federal Register Notice for the collection published on Friday, January 10, 2025. The 30-Day FRN citation is 90 FRN 1987.
Part B: CONSULTATION
No additional consultation apart from soliciting public comments through the Federal Register was conducted for this submission.
9. Gifts or Payment
No payments or gifts are being offered to respondents as an incentive to participate in the collection.
10. Confidentiality
A Privacy Advisory is provided on all of the DD Forms to notify respondents of their rights under the Privacy Act of 1974.
The SORN associated with this collection, Defense Casualty Information Processing System (DCIPS), A0600-8-1c AHRC DoD, may be found online at: https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570058/a0600-8-1c-ahrc-dod/
A Privacy Impact Assessment (PIA) is not required for this collection because PII is not being collected electronically.
Records are permanent. Keep in current file area until no longer needed for conducting business, then retire to Records Holding Area (RHA)/Army Electronic Archive (AEA). Transfer a snap shot of the DCIPS Master File to AEA annually at the end of the fiscal year. The AEA will transfer a snap shot of DCIPS to the National Archives and Records Administration (NARA) one year after the signature by the Archivist of the United States. Thereafter, the AEA will transfer a snap shot of DCIPS to NARA every two years. Legal custody of each snap shot will transfer to NARA when the record is 25 years old.
11. Sensitive Questions
No questions considered sensitive are being asked in this collection.
12. Respondent Burden and its Labor Costs
Part A: ESTIMATION OF RESPONDENT BURDEN
Collection Instrument
DD Form 565 – Statement of Recognition of Deceased
Number of Respondents: 250
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 250
Response Time: 15 minutes
Respondent Burden Hours: 62.5 hours
DD Form 3116 – Escort Report
Number of Respondents: 900
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 900
Response Time: 15 minutes
Respondent Burden Hours: 225 hours
DD Form 3122 – Military Funeral Honors Request Form
Number of Respondents: 250,000
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 250,000
Response Time: 15 minutes
Respondent Burden Hours: 62,500 hours
DD Form 3045 – Statement of Disposition of Military Remains
Number of Respondents: 900
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 900
Response Time: 15 minutes
Respondent Burden Hours: 225 hours
DD Form 3046 – Disposition of Remains Election Statement: Initial Notification of Identified Partial Remains
Number of Respondents: 60
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 60
Response Time: 15 minutes
Respondent Burden Hours: 15 hours
DD Form 3047 – Disposition of Remains Election Statement: Notification of Subsequently Identified Partial Remains
Number of Respondents: 60
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 60
Response Time: 15 minutes
Respondent Burden Hours: 15 hours
DD Form 3048 – Disposition of Organs Retained for Extended Examination
Number of Respondents: 60
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 60
Response Time: 15 minutes
Respondent Burden Hours: 15 hours
DD Form 3049 – Advanced Restorative Art of Remains
Number of Respondents: 60
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 60
Response Time: 15 minutes
Respondent Burden Hours: 15 hours
DD Form 3050 – Election for Air Transport of Remains of Casualties Dying in a Theater of Combat Operations
Number of Respondents: 60
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 60
Response Time: 15 minutes
Respondent Burden Hours: 15 hours
Total Respondent Burden
Total Submission Burden: 252,350
Total Number of Annual Responses: 252,350
Total Respondent Burden Hours: 63,088 hours
Part B: LABOR COST OF RESPONDENT BURDEN
Collection Instrument
DD Form 565 – Statement of Recognition of Deceased
Number of Total Annual Responses: 250
Response Time: 15 minutes
Respondent Hourly Wage: $7.25
Labor Burden per Response: $1.81
Total Labor Burden: $452.50
DD Form 3116 – Escort Report
Number of Total Annual Responses: 900
Response Time: 15 minutes
Respondent Hourly Wage: $7.25
Labor Burden per Response: $1.81
Total Labor Burden: $1,629
DD Form 3122 – Military Funeral Honors Request Form
Number of Total Annual Responses: 250,000
Response Time: 15 minutes
Respondent Hourly Wage: $7.25
Labor Burden per Response: $1.81
Total Labor Burden: $452,500
DD Form 3045 – Statement of Disposition of Military Remains
Number of Total Annual Responses: 900
Response Time: 15 minutes
Respondent Hourly Wage: $7.25
Labor Burden per Response: $1.81
Total Labor Burden: $1,629
DD Form 3046 – Disposition of Remains Election Statement: Initial Notification of Identified Partial Remains
Number of Total Annual Responses: 60
Response Time: 15 minutes
Respondent Hourly Wage: $7.25
Labor Burden per Response: $1.81
Total Labor Burden: $108.60
DD Form 3047 – Disposition of Remains Election Statement: Notification of Subsequently Identified Partial Remains
Number of Total Annual Responses: 60
Response Time: 15 minutes
Respondent Hourly Wage: $7.25
Labor Burden per Response: $1.81
Total Labor Burden: $108.60
DD Form 3048 – Disposition of Organs Retained for Extended Examination
Number of Total Annual Responses: 60
Response Time: 15 minutes
Respondent Hourly Wage: $7.25
Labor Burden per Response: $1.81
Total Labor Burden: $108.60
DD Form 3049 – Advanced Restorative Art of Remains
Number of Total Annual Responses: 60
Response Time: 15 minutes
Respondent Hourly Wage: $7.25
Labor Burden per Response: $1.81
Total Labor Burden: $108.60
DD Form 3050 – Election for Air Transport of Remains of Casualties Dying in a Theater of Combat Operations
Number of Total Annual Responses: 60
Response Time: 15 minutes
Respondent Hourly Wage: $7.25
Labor Burden per Response: $1.81
Total Labor Burden: $108.60
Overall Labor Burden
Total Number of Annual Responses: 252,350
Total Labor Burden: $456,753.5
The Respondent hourly wage was determined by using the Federal minimum wage of $7.25. [https://www.dol.gov/general/topic/wages]
13. Respondent Costs Other Than Burden Hour Costs
There are no annualized costs to respondents other than the labor burden costs addressed in Section 12 of this document to complete this collection.
14. Cost to the Federal Government
Part A: LABOR COST TO THE FEDERAL GOVERNMENT
Collection Instrument(s)
Mortuary Affairs Forms
Processing Time per Response: 15 minutes
Hourly Wage of Worker(s) Processing Responses: $24.11
Cost to Process Each Response: $6.03
Overall Labor Burden to the Federal Government
Total Number of Annual Responses: 252,350
Total Labor Burden: $1,521,670
Part B: OPERATIONAL AND MAINTENANCE COSTS
Cost Categories
Equipment: $0
Printing: $0
Postage: $0
Software Purchases: $0
Licensing Costs: $0
Other: $0
Total Operational and Maintenance Cost: $0
Part C: TOTAL COST TO THE FEDERAL GOVERNMENT
Total Labor Cost to the Federal Government: $1,521,670
Total Operational and Maintenance Costs: $0
Total Cost to the Federal Government: $1,521,670
15. Reasons for Change in Burden
The burden has increased since the last approval because additional forms were added (DD565, DD3116, and DD3122).
16. Publication of Results
The results of this information collection will not be published.
17. Non-Display of OMB Expiration Date
We are not seeking approval to omit the display of the expiration date of the OMB approval on the collection instrument.
18. Exceptions to “Certification for Paperwork Reduction Submissions”
We are not requesting any exemptions to the provisions stated in 5 CFR 1320.9.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kaitlin Chiarelli |
| File Modified | 0000-00-00 |
| File Created | 2025-01-18 |