Information Collection Request

Involuntary Allotment Application

ICR 202407-0730-001 · OMB 0730-0018 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DD Form 2653 Involuntary Allotment Application Form Modified Available
0704-0367_SSA_9.22.21.docx Supporting Statement A Uploaded 2021-09-22 Available
DD 2653_SSN Approval Memo-FINAL.pdf Supplementary Document Uploaded 2021-06-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5419 Involuntary Allotment Application Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2024 36 Months From Approved
2,783 0 0
1,392 0 0
25,492 0 0





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table that charts list of burden
IC Title Form No. Form Name
Involuntary Allotment Application DD Form 2653 Involuntary Allotment Application

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 2,783 0 0 2,783 0 0
Annual Time Burden (Hours) 1,392 0 0 1,392 0 0
Annual Cost Burden (Dollars) 25,492 0 0 25,492 0 0


Reginfo record details
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