0704-aabf_ssa_2.5.26

0704-AABF_SSA_2.5.26.docx

Statement of Disposition of Civilian Remains

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SUPPORTING STATEMENT - PART A

Statement of Disposition of Civilian Remains 0704-AABF

1. Need for the Information Collection


This information collection is necessary to obtain and document the selection (as applicable) of the Person Authorized to Effect Disposition (PAED), who is authorized to direct disposition of human remains of decedents. As stated in 10 U.S. Code § 1481, ‘Recovery, Care, and Disposition of Remains: Decedents Covered,’ the Department of Defense may provide for the recovery, care, and disposition of the remains for active-duty Regulars, Reserve Component members, applicants, trainees, military prisoners, and others. The Department of Defense is further authorized, per § 1482 and § 1482a to provide reimbursement, cover expenses, or otherwise provide mortuary services for decedents, including civilian employees serving with the armed forces. In order to provide reimbursement or these services, the Department of Defense is charged with electing and documenting the elections of PAED of the remains, to whom the payment/reimbursement is made.

2. Use of the Information


Upon the death of a civilian employee, the PAED is notified by the Service Casualty Office and provided a mortuary briefing. They will complete the DD Form 3004, “Statement of Disposition of Civilian Remains”, which provides a written declaration as to their intent, wishes, and directions for the Service or agency to ensure the expedition embalming/preparation, restoration, and return of remains of a civilian. The form is presented to the PAED when discussing mortuary entitlements by the Mortuary Officer during the mortuary briefing. A PAED may additionally relinquish their rights as PAED and identify a new PAED to whom the authority to affect disposition passes to.


3. Use of Information Technology


Although the initial use of the information collection will most likely be manual input on a paper form, it may also be electronic if the resources are available and the form will be scanned and sent electronically to the Service casualty or mortuary offices for retention and use 100% of the time.


4. Non-duplication


The information obtained through this collection is unique and is not already available for use or adaptation from another cleared source.


5. Burden on Small Businesses


This information collection does not impose a significant economic impact on a substantial number of small businesses or entities.


6. Less Frequent Collection


The collection of information is on an as required basis.


7. Paperwork Reduction Act Guidelines

This collection of information does not require collection to be conducted in a manner inconsistent with the guidelines delineated in 5 CFR 1320.5(d)(2).

8. Consultation and Public Comments

Part A: PUBLIC NOTICE

A 60-Day Federal Register Notice (FRN) for the collection published on Monday, July 7, 2025. The 60-Day FRN citation is 90 FRN 29852.

No comments were received during the 60-Day Comment Period.

A 30-Day Federal Register Notice for the collection published on Monday, February 2, 2026. The 30-Day FRN citation is 91 FRN 4527.

Part B: CONSULTATION

The Central Joint Mortuary Affairs Board reviewed the requirement and voted to accept this collection into the mortuary affairs forms inventory.


9. Gifts or Payment


No payments or gifts are being offered to respondents as an incentive to participate in the collection.


10. Confidentiality


A Privacy Advisory is provided on the DD Form to notify respondents of their rights under the Privacy Act of 1974.


The SORN associated with this collection, Defense Casualty Information Processing System (DCIPS), A0600-8-1 c AHRC DoD, may be found online at: https://www.federalregister.gov/documents/2011/05/03/2011-10678/privacy-act-of-1974-system-of-records


A Privacy Impact Assessment (PIA) is not required for this collection because PII is not being collected electronically.


Disposition Schedule: Offices having Army-wide responsibility: Records are permanent. Keep in current file area until no longer needed for conducting business, then retire to Records Holding Area (RHA)/Army Electronic Archive (AEA). The RHA/AEA will transfer to the National Archives when 25 years old.

Offices other than having Army-wide responsibility: Keep in current file area until record is 2 years old and then destroy.


11. Sensitive Questions


No questions considered sensitive are being asked in this collection.


12. Respondent Burden and its Labor Costs

Part A: ESTIMATION OF RESPONDENT BURDEN


  1. Collection Instrument(s)

DD Form 3004 Statement of Disposition of Civilian Remains

  1. Number of Respondents: 60

  2. Number of Responses Per Respondent: 1

  3. Number of Total Annual Responses: 60

  4. Response Time: 1 hour

  5. Respondent Burden Hours: 60 hours


  1. Total Submission Burden (Summation or average based on collection)

    1. Total Number of Respondents: 60

    2. Total Number of Annual Responses: 60

    3. Total Respondent Burden Hours: 60 hours


Part B: LABOR COST OF RESPONDENT BURDEN


  1. Collection Instrument(s)

DD Form 3004 Statement of Disposition of Civilian Remains

  1. Number of Total Annual Responses: 60

  2. Response Time: 1 hour

  3. Respondent Hourly Wage: $7.25

  4. Labor Burden per Response: $7.25

  5. Total Labor Burden: $435.00


  1. Overall Labor Burden

    1. Total Number of Annual Responses: 60

    2. Total Labor Burden: $435.00


The Respondent hourly wage was determined by using the 2025 Federal Minium Wage. U.S. Department of Labor: https://www.dol.gov/general/topic/wages/minimumwage


13. Respondent Costs Other Than Burden Hour Costs


There are no annualized costs to respondents other than the labor burden costs addressed in Section 12 of this document to complete this collection.


14. Cost to the Federal Government


Part A: LABOR COST TO THE FEDERAL GOVERNMENT


  1. Collection Instrument(s)

DD Form 3004 Statement of Disposition of Civilian Remains

  1. Number of Total Annual Responses: 60

  2. Response Time: 1 hour

  3. Respondent Hourly Wage: $7.25

  4. Labor Burden per Response: $7.25

  5. Total Labor Burden: $435.00


  1. Overall Labor Burden to the Federal Government

    1. Total Number of Annual Responses: 60

    2. Total Labor Burden: $435.00


Part B: OPERATIONAL AND MAINTENANCE COSTS


  1. Cost Categories

    1. Equipment: $0

    2. Printing: $0

    3. Postage: $0

    4. Software Purchases: $0

    5. Licensing Costs: $0

    6. Other: $0


  1. Total Operational and Maintenance Cost: $0


Part C: TOTAL COST TO THE FEDERAL GOVERNMENT


  1. Total Labor Cost to the Federal Government: $435.00


  1. Total Operational and Maintenance Costs: $0


  1. Total Cost to the Federal Government: $435.00


15. Reasons for Change in Burden


This is an existing collection currently in use without an OMB Control Number.


16. Publication of Results


The results of this information collection will not be published.


17. Non-Display of OMB Expiration Date


We are not seeking approval to omit the display of the expiration date of the OMB approval on the collection instrument.


18. Exceptions to “Certification for Paperwork Reduction Submissions”


We are not requesting any exemptions to the provisions stated in 5 CFR 1320.9.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKaitlin Chiarelli
File Modified0000-00-00
File Created2026-02-06

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