View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0730-0014	ICR Reference No: 201406-0730-001
Status: Historical Active	Previous ICR Reference No: 200709-0730-001
Agency/Subagency: DOD/DFAS	Agency Tracking No:
Title: Dependency Statements: Parent, Child Born Out of Wedlock, Incapacitated Child Over Age 21, Full Time Student 21-22 Years of Age, and Ward of a Court
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/28/2014
	Date Received in OIRA: 06/26/2014
Terms of Clearance: This collection is approved based on the revised materials provided by the Department. DOD must report this collection as a violation unless they can prove it was not in use before this reinstatement.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	36 Months From Approved
Responses	20,969	0	0
Time Burden (Hours)	17,474	0	0
Cost Burden (Dollars)	360,667	0	0

ICR Summary of Burden

	Total Approved	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	20,969	1,529	19,440
Annual Time Burden (Hours)	17,474	-6,826	24,300
Annual Cost Burden (Dollars)	360,667	-123,632	484,299

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: Burden has decreased due to a decrease in eligible dependents. This number fluctuates with member needs.

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