Information Collection Request

Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Internment Expenses

ICR 202505-0704-003 · OMB unassigned · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DD Form 2065 Disposition of Remains - Reimbursable Basis Form Modified Available
Form DD Form 1375 Request for Payment of Funeral and/or Interment Expenses Form Modified Available
0704-0030_SSA_8.25.25.docx Supporting Statement A Uploaded 2025-08-25 Available
0704-0030 SSN Justification Memo.pdf Supplementary Document Uploaded 2025-07-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5249 Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses Form ModifiedDisposition of Remains - Reimbursable Basis
5249 Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses Form ModifiedRequest for Payment of Funeral and/or Interment Expenses

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2028 36 Months From Approved 09/30/2025
2,450 0 2,450
1,225 0 1,225
8,881 0 8,881





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses DD Form 1375, DD Form 2065 ,  

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 2,450 2,450 0 0 0 0
Annual Time Burden (Hours) 1,225 1,225 0 0 0 0
Annual Cost Burden (Dollars) 8,881 8,881 0 0 0 0


Reginfo record details
  No