Document
Submission for OMB Review; Comment Request
The Department of Defense has submitted to OMB for clearance the following proposal for collection of information under the provisions of the Paperwork Reduction Act.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number:
Physician Certificate for Child Annuitant; DD Form 2828; OMB Control Number 0730-0011.
Type of Request:
Extension.
Number of Respondents:
240.
Responses per Respondent:
1.
Annual Responses:
240.
Average Burden per Response:
2 hours.
Annual Burden Hours:
480.
Needs and Uses:
The information collection requirement is necessary to support an incapacitation occurring prior to age 18. The form provides the authority for the DFAS to establish and pay a Retired Serviceman's Family Protection Plan (RSFPP) or Survivor Benefit Plan (SBP) annuity to the incapacitated individual.
Affected Public:
Individuals or households.
Frequency:
On occasion.
Respondent's Obligation:
Voluntary.
OMB Desk Officer:
Ms. Jasmeet Seehra.
You may also submit comments and recommendations, identified by Docket ID number and title, by the following method:
Instructions:
All submissions received must include the agency name, Docket ID number, and title for this
Federal Register
document. The general policy for comments and other submissions from members of the public is to make these submissions available for public viewing on the internet at
http://www.regulations.gov
as they are received without change, including any personal identifiers or contact information.
DOD Clearance Officer:
Ms. Angela James.
Requests for copies of the information collection proposal should be sent to Ms. James at
whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil.
Dated: May 4, 2020.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.