Tender of Service for Personal Property Household Goods and Unaccompanied Baggage Shipments (DPS)

ICR 202507-0704-001

OMB: 0704-0531

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2025-07-30
IC Document Collections
IC ID
Document
Title
Status
213157 Modified
ICR Details
0704-0531 202507-0704-001
Received in OIRA 202202-0704-001
DOD/DODDEP
Tender of Service for Personal Property Household Goods and Unaccompanied Baggage Shipments (DPS)
Extension without change of a currently approved collection   No
Regular 07/31/2025
  Requested Previously Approved
36 Months From Approved 07/31/2025
239,904 229,250
11,995 11,463
347,621 191,997

The DD Form 619 is the certification by the member/employee that the requested accessorial services were actually performed. The DD Form 619 is used by the Transportation Service Provider to support invoicing and payment for accessorial services performed.

US Code: 37 USC 476
   US Code: 5 USC 5726
  
None

Not associated with rulemaking

  89 FR 99236 12/10/2024
90 FR 35290 07/25/2025
No

1
IC Title Form No. Form Name
DD Form 619 DD Form 619 Statement of Accessorial Services Performed

  Total Request 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 239,904 229,250 0 10,654 0 0
Annual Time Burden (Hours) 11,995 11,463 0 532 0 0
Annual Cost Burden (Dollars) 347,621 191,997 0 155,624 0 0
Yes
Miscellaneous Actions
No
The burden has increased since the previous approval due to an increase in hourly wages and responses per response.

$347,621
No
    No
    No
No
No
No
No
Katelyne Ortiz 618 229-1180 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/31/2025


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