Approved for two years only due to lack of GPEA compliance.
Inventory as of this Action
Requested
Previously Approved
06/30/2015
36 Months From Approved
06/30/2013
5,800
0
5,800
8,236
0
1,450
0
0
0
This form facilitates processing of applications for benefits filed by dependents of diplomats, international organizations, and NATO personnel by the DHS, DOS, DOD, and NATO/HQ SACT.
There has been an increase in the estimated burden hours previously reported for this collection of information. The increase is due to additions to the form and instructions which are detailed in the Table of Changes, submitted for review separately. The burden time also has increased due to a better estimation of the overall burden the respondents encounter in reading the instructions and completing the form.
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:
(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;
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.