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Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses
Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Internment Expenses
OMB: 0704-0030
IC ID: 5249
OMB.report
DOD/DODDEP
OMB 0704-0030
ICR 201602-0704-001
IC 5249
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0030 can be found here:
2022-06-28 - Extension without change of a currently approved collection
2019-05-17 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DD Form 1375
Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses
Form
DD Form 1375 Request for Payment of Funeral and/or Interment Expenses
dd1375_20151214.PDF
Form
DD Form 2065 Disposition of Remains - Reimburseable Basis
dd2065_20151214.PDF
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Disposition of Remains - Reimbursable Basis Request for Payment of Funeral and/or Interment Expenses
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DD Form 1375
Request for Payment of Funeral and/or Interment Expenses
dd1375_20151214.PDF
No
Paper Only
Form
DD Form 2065
Disposition of Remains - Reimburseable Basis
dd2065_20151214.PDF
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
Defense Casualty Information Processing System (DCIPS)
FR Citation:
76 FR 24865
Number of Respondents:
2,450
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,450
0
-750
0
3,200
0
Annual IC Time Burden (Hours)
1,224
0
674
0
550
0
Annual IC Cost Burden (Dollars)
12,985
0
12,985
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.