OMB control number
Claim Certification and Voucher for Death Gratuity Payment
OMB 0730-0017 · DOD/DFAS.
OMB 0730-0017
This form is used to document and approve death gratuity payments. The Service Casualty Office completes part of the form and provides the form to the Service Member's beneficiaries to complete and sign their portion of the form. The form is sent to DFAS for payment.
The latest form for Claim Certification and Voucher for Death Gratuity Payment expires 2027-10-31 and is listed under ICR 202407-0730-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DD Form 397 Claim Certification and Voucher for Death Gratuity Payment | Form |
 0730-0017_SS-A_07.30.2024.docx | Supporting Statement A |
| dd397_justification memo_20171031.pdf | Supplementary Document |
| CDS SORN Final.docx | Supplementary Document |
 Claim Certification and Voucher for Death Gratuity Payment |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202407-0730-002 | Extension without change of a currently approved collection | 2024-07-30 | ||
| 202105-0730-001 | Revision of a currently approved collection | 2021-05-27 | Approved with change | |
| 201712-0730-001 | Reinstatement with change of a previously approved collection | 2017-12-26 | Approved without change | |
| 201201-0730-002 | Extension without change of a currently approved collection | 2012-01-31 | Improperly submitted and continue | |
| 200809-0730-001 | Existing collection in use without an OMB Control Number | 2008-09-18 | Approved without change |