Involuntary Allotment Application

Forms and Documents

Document Name	Status
Form DD Form 2653 Involuntary Allotment Application Form	Modified
0704-0367_SSA_9.22.21.docx Supporting Statement A	2021-09-22
DD 2653_SSN Approval Memo-FINAL.pdf Supplementary Document	2021-06-09

IC Document Collections

IC ID	Document Title	Status
5419	Involuntary Allotment Application Form	Modified

ICR Details

OMB Control No: 0704-0367	ICR Reference No: 202106-0704-002
Status: Received in OIRA	Previous ICR Reference No: 201107-0704-005
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Involuntary Allotment Application
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/22/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	2,783	0
Time Burden (Hours)	1,392	0
Cost Burden (Dollars)	25,492	0

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Abstract: 5 USC 5520a(k) directs the establishment of provisions for the involuntary allotment of the pay of a member of the uniformed services for indebtedness owed a third party as determined by the final judgment of a court, and as determined by military authority to be in compliance with the Soldiers' and Sailors' Civil Relief Act of 1940. These provisions must also consider the absence of a military member of the uniformed services from appearance in a civil proceeding if the absence results from the exigencies of military duty. The DD Form 2653, "Involuntary Allotment Application," provides the Department of Defense the reviewing authority with the data necessary to act on results form the public for assistance in the collection of debt.

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Authorizing Statute(s): US Code: 5 USC 5520a
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 33694	06/25/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 51658	09/16/2021
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Involuntary Allotment Application	DD Form 2653	Involuntary Allotment Application

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,783	0	0	2,783	0	0
Annual Time Burden (Hours)	1,392	0	0	1,392	0	0
Annual Cost Burden (Dollars)	25,492	0	0	25,492	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Increase in burden due to an increase in respondent hourly wage.

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Annual Cost to Federal Government: $42,027

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/22/2021

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