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Waiver/Remission of Indebtedness Application
Waiver/Remission of Indebtedness Application
OMB: 0730-0009
IC ID: 5638
OMB.report
DOD/DFAS
OMB 0730-0009
ICR 201805-0730-001
IC 5638
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0730-0009 can be found here:
2024-08-29 - Extension without change of a currently approved collection
2021-07-20 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DD2789
Waiver/Remission of Indebtedness Application
Form and Instruction
DENIAL sample.docx
Other-Letter
DOHA Appeal sample.docx
Other-Letter
DOHA forwarding letter-regular.doc
Other-Letter
Incomplete package template.docx
Other-Letter
INELIGIBLE sample.docx
Other-Letter
OGC-DOHA APPROVAL sample.docx
Other-Letter
PARTIAL WAIVER sample.docx
Other-Letter
REBUTTAL LETTER sample.docx
Other-Letter
SOL sample.docx
Other-Letter
DD2789 WAIVER/REMISSION OF INDEBTEDNESS APPLICATION
dd2789_20180205.PDF
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Waiver/Remission of Indebtedness Application
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 and Instruction
DD2789
WAIVER/REMISSION OF INDEBTEDNESS APPLICATION
dd2789_20180205.PDF
Yes
Yes
Fillable Fileable Signable
Other-Letter
DENIAL sample.docx
No
Paper Only
Other-Letter
DOHA Appeal sample.docx
No
Paper Only
Other-Letter
DOHA forwarding letter-regular.doc
No
Paper Only
Other-Letter
Incomplete package template.docx
No
Paper Only
Other-Letter
INELIGIBLE sample.docx
No
Paper Only
Other-Letter
OGC-DOHA APPROVAL sample.docx
No
Paper Only
Other-Letter
PARTIAL WAIVER sample.docx
No
Paper Only
Other-Letter
REBUTTAL LETTER sample.docx
No
Printable Only
Other-Letter
SOL sample.docx
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:
FR Citation:
Number of Respondents:
4,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
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
4,500
0
-2,500
0
7,000
0
Annual IC Time Burden (Hours)
6,000
0
-4,100
0
10,100
0
Annual IC Cost Burden (Dollars)
43,500
0
43,500
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.