[Federal Register Volume 69, Number 230 (Wednesday, December 1, 2004)]
[Notices]
[Pages 69895-69896]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-26434]


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DEPARTMENT OF DEFENSE

Office of the Secretary


Submission for OMB Review; Comment Request

ACTION: Notice.

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    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 (44 U.S.C. Chapter 35).

DATES: Consideration will be given to all comments received by January 
3, 2005.
    Title, Form, and OMB Number: Application for Annuity--Certain 
Military Surviving Spouses; DD Form 2769; OMB Control Number 0704-0402.
    Type of Request: Extension.
    Number of Respondents: 75.
    Responses per Respondent: 1.
    Annual Responses: 75.
    Average Burden per Response: 1 hour.
    Annual Burden Hours: 75.
    Needs and Uses: The respondents of this information collection are 
surviving spouses of each member of the uniformed services who (1) died 
before March 21, 1974, and was entitled to retired or retainer pay on 
the date of death or (2) was a member of a reserve component of the 
Armed Forces before October 1, 1978, and at the time of member's death 
would have been entitled to retired pay. The Defense Authorization Act 
of FY 1998, Public Law 105-85, Section 644 (as amended by Pub. Law 105-
65, Section 656) requires the Secretary of Defense to pay an annuity to 
qualified surviving spouses. The DD Form 2769, Application for 
Annuity--Certain Military Surviving Spouses, used in this information 
collection, provides a vehicle for the surviving spouse to apply for 
the annuity benefit. The Department will use this information to 
determine if the applicant is eligible for the annuity benefit and make 
payment to the surviving spouse.
    Affected Public: Individuals or households.
    Frequency: On occasion.
    Respondent's Obligation: Required to obtain or retain a benefit.

[[Page 69896]]

    OMB Desk Officer: Ms. Jacqueline Zeiher. Written comments and 
recommendations on the proposed information collection should be sent 
to Ms. Zeiher at the Office of Management and Budget, Desk Officer for 
DoD, Room 10236, New Executive Office Building, Washington, DC 20503.
    DOD Clearance Officer: Ms. Patricia Toppings. Written request for 
copies of the information collection proposal should be sent to Ms. 
Toppings, WHS/ESCD/Information Management Division, 1225 South Clark 
Street, Suite 504, Arlington, VA 22202-4326.

    Dated: November 22, 2004.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 04-26434 Filed 11-30-04; 8:45 am]
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