Tender of Service for Personal Property Household Goods and Unaccompanied Baggage Shipments (DPS)

ICR 201409-0704-001

OMB: 0704-0531

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supplementary Document
2014-09-18
Supporting Statement A
2014-09-18
IC Document Collections
IC ID
Document
Title
Status
213157 New
ICR Details
0704-0531 201409-0704-001
Historical Active
DOD/DODDEP
Tender of Service for Personal Property Household Goods and Unaccompanied Baggage Shipments (DPS)
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 10/20/2014
Retrieve Notice of Action (NOA) 09/18/2014
DOD must report this collection as a violation in this year's Information Collection Budget.
  Inventory as of this Action Requested Previously Approved
10/31/2017 36 Months From Approved
227,760 0 0
18,980 0 0
294,190 0 0

The DD Form 619 is the certification by the member/employee that the requested accessorial services were actually performed. The DD Form 619 is used by the Transportation Service Provider to support invoicing and payment for accessorial services performed. This was previously cleared under 0702-0022 and 0702-0018.

US Code: 37 USC 476 Name of Law: null
   US Code: 5 USC 5726 Name of Law: null
  
None

Not associated with rulemaking

  79 FR 19589 04/09/2014
79 FR 55761 09/17/2014
No

1
IC Title Form No. Form Name
DD Form 619 DD Form 619 Statement of Accessorial Services Performed

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 227,760 0 0 0 0 227,760
Annual Time Burden (Hours) 18,980 0 0 0 0 18,980
Annual Cost Burden (Dollars) 294,190 0 0 0 0 294,190
No
No

$232,500
No
No
No
No
No
Uncollected
Shelly Finke 571 372-7574 shelly.finke.ctr@whs.mil

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/18/2014


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