Information Collection

Waiver/Remission of Indebtedness Application

IC 5638 under ICR 202408-0730-001 · OMB 0730-0009.

Documents and Forms

Document Name Document Type
Form DD2789 Waiver/Remission of Indebtedness Application Form and Instruction
DD2789 WAIVER/REMISSION OF INDEBTEDNESS APPLICATION dd2789.pdf Form and Instruction
DD2789 WAIVER/REMISSION OF INDEBTEDNESS APPLICATION dd2789.pdf Form and Instruction
0730-0009_SOL sample.docx SOL Sample IC Document
0730-0009_SOL sample.docx SOL Sample IC Document
0730-0009_REBUTTAL LETTER sample.docx Rebuttal Letter Sample IC Document
0730-0009_REBUTTAL LETTER sample.docx Rebuttal Letter Sample IC Document
0730-0009_PARTIAL WAIVER sample.docx Partial Waiver Sample IC Document
0730-0009_PARTIAL WAIVER sample.docx Partial Waiver Sample IC Document
0730-0009_OGC-DOHA APPROVAL sample.docx OGC DOHA Approval Sample IC Document
0730-0009_OGC-DOHA APPROVAL sample.docx OGC DOHA Approval Sample IC Document
0730-0009_INELIGIBLE sample.docx Ineligible Notification Sample IC Document
0730-0009_INELIGIBLE sample.docx Ineligible Notification Sample IC Document
0730-0009_Incomplete package template.docx Incomplete Package Notification Sample IC Document
0730-0009_Incomplete package template.docx Incomplete Package Notification Sample IC Document
0730-0009_DOHA forwarding letter-regular.docx DOHA Forwarding Notification Sample IC Document
0730-0009_DOHA forwarding letter-regular.docx DOHA Forwarding Notification Sample IC Document
0730-0009_DOHA Appeal sample.docx DOHA Appeal Sample IC Document
0730-0009_DOHA Appeal sample.docx DOHA Appeal Sample IC Document
0730-0009_DENIAL sample.docx Denial Sample IC Document
0730-0009_DENIAL sample.docx Denial Sample IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Waiver/Remission of Indebtedness Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD2789	WAIVER/REMISSION OF INDEBTEDNESS APPLICATION	dd2789.pdf		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	43,500	43,500

Documents for IC

Title	Document	Date Uploaded
SOL Sample	0730-0009_SOL sample.docx	07/20/2021
Rebuttal Letter Sample	0730-0009_REBUTTAL LETTER sample.docx	07/20/2021
Partial Waiver Sample	0730-0009_PARTIAL WAIVER sample.docx	07/20/2021
OGC DOHA Approval Sample	0730-0009_OGC-DOHA APPROVAL sample.docx	07/20/2021
Ineligible Notification Sample	0730-0009_INELIGIBLE sample.docx	07/20/2021
Incomplete Package Notification Sample	0730-0009_Incomplete package template.docx	07/20/2021
DOHA Forwarding Notification Sample	0730-0009_DOHA forwarding letter-regular.docx	07/20/2021
DOHA Appeal Sample	0730-0009_DOHA Appeal sample.docx	07/20/2021
Denial Sample	0730-0009_DENIAL sample.docx	07/20/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.