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: 0730-0009	ICR Reference No: 201805-0730-001
Status: Historical Active	Previous ICR Reference No: 200905-0730-002
Agency/Subagency: DOD/DFAS	Agency Tracking No:
Title: Waiver/Remission of Indebtedness Application
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 without change	Conclusion Date: 07/02/2018
	Date Received in OIRA: 06/01/2018
Terms of Clearance: DOD must report this collection as a violation in the Information Collection Budget.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2021	36 Months From Approved
Responses	4,500	0	0
Time Burden (Hours)	6,000	0	0
Cost Burden (Dollars)	43,500	0	0

Authorizing Statute(s): US Code: 5 USC 5584 Name of Law: Claims for overpayment of pay and allowances, and of travel, transportation and relocation expense
   US Code: 10 USC 2774 Name of Law: Claims for overpayment of pay and allowances and of travel and transportation allowances
   US Code: 10 USC 4837 Name of Law: Settlement of accounts, remission or cancellation of indebtedness of members
   US Code: 10 USC 6161 Name of Law: Settlement of accounts: remission or cancellation of indebtedness of members
   US Code: 10 USC 9837 Name of Law: Settlement of accounts: remission or cancellation of indebtedness of members
   US Code: 32 USC 716 Name of Law: Claims for overpayment of pay and allowances, and travel and transportation allowances

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,500	-2,500	7,000
Annual Time Burden (Hours)	6,000	-4,100	10,100
Annual Cost Burden (Dollars)	43,500	43,500	0

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Number of users of the form as decreased. Electronic subbmission has increased from 20% to 80%. Annual Cost to US Government has decreased.

Annual Cost to Federal Government: $148,185

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Reginald Lucas 571 372-0403 reginald.t.lucas2.ctr@mail.mil

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