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OMB Control No: 0704-0569	ICR Reference No: 202607-0704-013
Status: Received in OIRA	Previous ICR Reference No: 202304-0704-002
Agency/Subagency: DOW/DODDEP	Agency Tracking No:
Title: Data for Payment of Retired Personnel
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 08/27/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2026
Responses	110,950	127,950
Time Burden (Hours)	27,738	31,988
Cost Burden (Dollars)	730,607	843,191

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	110,950	127,950	-17,000
Annual Time Burden (Hours)	27,738	31,988	-4,250
Annual Cost Burden (Dollars)	730,607	843,191	-112,584

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: Changing Forms

Short Statement: Burden decreased due to the merge of two forms to better align information collected and to reduce the total number of forms.

Annual Cost to Federal Government: $700,649

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? No

Agency Contact: LaTarsha Yeargins 571 372-2089 latarsha.r.yeargins.ctr@mail.mil

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