View Information Collection (IC)

View Information Collection (IC)

IC Title:	Application for Former Spouse Payments from Retired Pay	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD Form 2293	Application for Former Spouse Payments From Retired Pay	DD Form 2293 20170118.pdf		Yes	No	Fillable Printable
Other-Letter to Member			M-4.doc		No		Paper Only
Other-Letter to Claimant			M-33.doc		No		Paper Only
Other-Rejection Letter to Requester			M-34.doc		No		Paper Only
Other-Rejection Paragraphs for Rejection Letter			REJECT PARAGRAPHS.doc		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: Defense Military Retiree and Annuity Pay System	FR Citation: 74 FR 696

Number of Respondents: 25,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	25,000	0	-4,127	0	29,127	0
Annual IC Time Burden (Hours)	12,500	0	5,218	0	7,282	0
Annual IC Cost Burden (Dollars)	90,625	0	-73,651	0	164,276	0

Documents for IC

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.