Information Collection

DD Form 619

IC 213157 under ICR 202601-0704-003 · OMB 0704-0531.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD 619 Statement of Accessorial Services Performed DD Form 619	Form
DD 619 Statement of Accessorial Services Performed dd0619.pdf	Form

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:

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 619				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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	239,904	239,904
Annual IC Time Burden (Hours)	11,995	11,995
Annual IC Cost Burden (Dollars)	347,621	347,621

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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