Waiver/Remission of Indebtedness Application

OMB 0730-0009

Information is used to determine an individual's entitlement to relief from a claim owed the U.S. Government. Government claims examiners use information provided to determine whether there is indication of fraud, misrepresentation, and fault on the part of the individual, or whether it's in the best interest of the government to collect debt.

The latest form for Waiver/Remission of Indebtedness Application expires 2021-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DD2789 Waiver/Remission of Indebtedness Application Form and Instruction
0730-0009_SS-A_7.20.2021.docx Supporting Statement A
DD Form 2789 SSN Justification (003).pdf Supplementary Document
Waiver/Remission of Indebtedness Application Form and Instruction

All Historical Document Collections

202107-0730-001 Approved without change	Extension without change of a currently approved collection	2021-07-20
201805-0730-001 Approved without change	Reinstatement with change of a previously approved collection	2018-06-01
200905-0730-002 Approved without change	Extension without change of a currently approved collection	2009-05-31
200509-0730-002 Approved without change	Extension without change of a currently approved collection	2005-09-28
200208-0730-001 Approved without change	Reinstatement without change of a previously approved collection	2002-08-16
199811-0730-002 Approved without change	New collection (Request for a new OMB Control Number)	1998-11-30