Claim Certification and Voucher for Death Gratuity Payment

ICR 201201-0730-002 · OMB 0730-0017 · Historical Inactive

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0730-0017 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form DD Form 397 Claim Certification and Voucher for Death Gratuity Payment	Form	Unchanged	Available
DD Form 397 SUPPORTING STATEMENT.doc	Supporting Statement A	Uploaded 2008-09-18	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
186640	Claim Certification and Voucher for Death Gratuity Payment	Form	Unchanged

ICR Details

OMB Control No: 0730-0017	ICR Reference No: 201201-0730-002
Status: Historical Inactive	Previous ICR Reference No: 200809-0730-001
Agency/Subagency: DOD/DFAS	Agency Tracking No:
Title: Claim Certification and Voucher for Death Gratuity Payment
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 02/22/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/31/2012
Terms of Clearance: DOD needs to resubmit this collection with revised materials discussing a current 60 and 30 day notice -- not one completed in 2007.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2012	36 Months From Approved	02/29/2012
Responses	2,416	0	2,416
Time Burden (Hours)	1,208	0	1,208
Cost Burden (Dollars)	27,675	0	27,675

Abstract: This information collection allows the government to collect the signatures and information needed to pay a death gratuity. Pursuant to 10 U.S.C. 1475 Â 1480, a designated beneficiary(ies) or next-of-kin can receive a death gratuity payment for a deceased service member. The DD Form 397 serves as a record of the disbursement of the death gratuity. To provide internal controls for this benefit, and to comply with the above-cited statutes, the information requested is needed to substantiate the receipt of the benefit.

Authorizing Statute(s): US Code: 10 USC 1475 Â 1480 Name of Law: null

Citations for New Statutory Requirements: None

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

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 73777	12/28/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 31438	06/02/2008
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Claim Certification and Voucher for Death Gratuity Payment	DD Form 397	Claim Certification and Voucher for Death Gratuity Payment

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: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $28,907

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

Agency Contact: Patricia Toppings 703 696-5284 [email protected]

Common Form ICR: No