USMC Dependency Statement Child Born Out of Wedlock under Age 21

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NAVMC 1750-13 USMC Dependency Statement Child Born Out of Wedlock Under Age 21	Form and Instruction	Modified	Available
0712-0010_SSA_2.2.2026.docx	Supporting Statement A	Uploaded 2026-02-02	Available
DoD FMR 7000.14-R, Vol. 7A, Ch. 26.pdf	Supplementary Document	Uploaded 2026-01-26	Available
P5001.1A IPAC SOP.pdf	Supplementary Document	Uploaded 2026-01-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
255133	USMC Dependency Statement Child Born Out of Wedlock Under Age 21	Form and Instruction	Modified	USMC Dependency Statement Child Born Out of Wedlock Under Age 21

ICR Details

OMB Control No: 0712-0010	ICR Reference No: 202601-0712-002
Status: Received in OIRA	Previous ICR Reference No: 202302-0712-010
Agency/Subagency: DOD/USMC	Agency Tracking No:
Title: USMC Dependency Statement Child Born Out of Wedlock under Age 21
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/03/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	20	20
Time Burden (Hours)	25	25
Cost Burden (Dollars)	989	869

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Abstract: The information collection is needed to determine the relationship and dependency of the claimed dependents and determine the member's entitlement to authorized benefits. Basic Allowance for Housing entitlements are determined by the documents provided showing verification of financial support.

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Authorizing Statute(s): US Code: 10 USC 8041 Name of Law: Headquarters, Marine Corps
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 37476	08/05/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 4549	02/02/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
USMC Dependency Statement Child Born Out of Wedlock Under Age 21	NAVMC 1750-13	USMC Dependency Statement Child Born Out of Wedlock Under Age 21

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ICR Summary of Burden

table that charts list of burden

	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	20	20	0	0	0	0
Annual Time Burden (Hours)	25	25	0	0	0	0
Annual Cost Burden (Dollars)	989	869	0	120	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $136

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/03/2026

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