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

Forms and Documents

Document Name	Status
Form DD Form 619 DD Form 619 Form	Modified
PIA_sec 1.pdf Supplementary Document	2022-03-28
0704-0531_SSA_3.30.22.docx Supporting Statement A	2022-03-30

IC Document Collections

IC ID	Document Title	Status
213157	DD Form 619 Form	Modified

ICR Details

OMB Control No: 0704-0531	ICR Reference No: 202202-0704-001
Status: Received in OIRA	Previous ICR Reference No: 201902-0704-008
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Tender of Service for Personal Property Household Goods and Unaccompanied Baggage Shipments (DPS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/30/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2022
Responses	229,250	227,760
Time Burden (Hours)	11,463	18,980
Cost Burden (Dollars)	191,997	294,190

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Abstract: 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.

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Authorizing Statute(s): US Code: 5 USC 5726
   US Code: 37 USC 476
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 4003	01/26/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 17273	03/28/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

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

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ICR Summary of Burden

	Total Request	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	229,250	227,760	0	1,490	0	0
Annual Time Burden (Hours)	11,463	18,980	0	-7,517	0	0
Annual Cost Burden (Dollars)	191,997	294,190	0	-102,193	0	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: The burden has decreased since the previous approval due to a more accurate calculation.

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Annual Cost to Federal Government: $191,996

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.     No

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.     No

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

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/30/2022

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