Information Collection

Involuntary Allotment Application

IC 5419 under ICR 202410-0730-001 · OMB 0730-0018.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD 2653 Involuntary Allotment Application	Form
Form DD 2653 INVOLUNTARY ALLOTMENT APPLICATION Involuntary Allotment Application	Form
DD 2653 INVOLUNTARY ALLOTMENT APPLICATION dd2653.pdf	Form
DD 2653 INVOLUNTARY ALLOTMENT APPLICATION dd2653.pdf	Form

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD 2653				Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,783

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,783	2,783
Annual IC Time Burden (Hours)	1,392	1,392
Annual IC Cost Burden (Dollars)	25,492	25,492

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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