Information Collection

DD Form 619

IC 213157 under ICR 202507-0704-001 · OMB 0704-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0531 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 619 DD Form 619 Form
Form DD Form 619 Statement of Accessorial Services Performed DD Form 619 Form
DD Form 619 Statement of Accessorial Services Performed dd0619.pdf Form
DD Form 619 Statement of Accessorial Services Performed dd0619.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	DD Form 619	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	DD Form 619	Statement of Accessorial Services Performed	dd0619.pdf		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: 833	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	239,904	10,654	229,250
Annual IC Time Burden (Hours)	11,995	532	11,463
Annual IC Cost Burden (Dollars)	347,621	155,624	191,997

Documents for IC

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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