Data for Payment of Retired Personnel

ICR 201807-0704-004

OMB: 0704-0569

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2018-07-27
Supplementary Document
2018-07-25
IC Document Collections
IC ID
Document
Title
Status
229237 Modified
ICR Details
0704-0569 201807-0704-004
Historical Active 201711-0704-002
DOD/DODDEP
Data for Payment of Retired Personnel
Revision of a currently approved collection   No
Regular
Approved without change 09/11/2018
Retrieve Notice of Action (NOA) 07/27/2018
  Inventory as of this Action Requested Previously Approved
09/30/2021 36 Months From Approved 09/30/2018
66,800 0 65,000
16,700 0 16,250
440,212 0 428,025

To collect information needed to establish a retired/retainer pay account for members of the Uniformed Services who are retiring or reaching the age of eligibility to receive retired pay. This includes designation of beneficiaries for unpaid retired pay, state tax withholding election, lump sum of retired pay election, information on dependents, and election of Survivor Benefit Plan coverage.

US Code: 10 USC Section 1415 Name of Law: null
  
None

Not associated with rulemaking

  83 FR 23440 05/21/2018
83 FR 35625 07/27/2018
Yes

1
IC Title Form No. Form Name
Data For Payment of Retired Personnel DD Form 2656 Data for Payment of Retired Pay

  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 66,800 65,000 0 1,800 0 0
Annual Time Burden (Hours) 16,700 16,250 0 450 0 0
Annual Cost Burden (Dollars) 440,212 428,025 0 12,187 0 0
Yes
Miscellaneous Actions
No
OMB Control Number 0704-0569 was approved on January 2, 2018, for emergency use. Since approval, the Coast Guard asked to use the same form for its retiring members. Approximately 1,800 Coast Guard members retire each year, which increased the annual, approximate burden from 65,000 applicants to 66,800.

$340,012
No
    Yes
    Yes
No
No
No
Uncollected
Ben McAlduff 480 316-1398 benjamin.d.mcalduff.ctr@mail.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.
07/27/2018


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