Information Collection

USMC Dependency Statement Child Born Out of Wedlock Under Age 21

IC 255133 under ICR 202601-0712-002 · OMB 0712-0010.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NAVMC 1750-13 USMC Dependency Statement Child Born Out of Wedlock Under Age 21 USMC Dependency Statement Child Born Out of Wedlock Under Age 21	Form and Instruction
NAVMC 1750-13 USMC Dependency Statement Child Born Out of Wedlock Unde NAVMC 1750_13 (M-YY).pdf	Form and Instruction

IC Title:

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 and Instruction	NAVMC 1750-13				Yes	Yes	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20	0	20
Annual IC Time Burden (Hours)	25	0	25
Annual IC Cost Burden (Dollars)	989	120	869

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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