# Submission for OMB Review; Comment Request
**AGENCY:**
Army & Air Force Exchange Service (Exchange), DoD.
**ACTION:**
30-Day information collection notice.
**SUMMARY:**
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.
**DATES:**
Consideration will be given to all comments received by September 30, 2019.
**ADDRESSES:**
Comments and recommendations on the proposed information collection should be emailed to Ms. Jasmeet Seehra, DoD Desk Officer, at *[email protected]* . Please identify the proposed information collection by DoD Desk Officer, Docket ID number, and title of the information collection.
**FOR FURTHER INFORMATION CONTACT:**
Angela James, 571-372-7574, or *[email protected]* .
**SUPPLEMENTARY INFORMATION:**
*Title; Associated Form; and OMB Number:* Exchange Employee Management and Pay System; Exchange Form 1450-011 “Annuity Application,” Exchange Form 1450-018 “Application for Payment of Survivor Annuity,” Exchange Form 1700-012 “Beneficiary Designation”, Web-based “Health/Benefit Enrollment”; OMB Control Number 0702-0139.
*Type of Request:* Extension.
*Number of Respondents* : 10,340.
*Responses per Respondent:* 1.
*Annual Responses:* 10,340.
*Average Burden per Response:* 45 minutes.
*Annual Burden Hours:* 7,755.
*Needs and Uses:* The information collection requirement is necessary to administer a number of different benefits and pay to eligible Exchange associates, former associates (retirees), their dependents, beneficiaries, spouses, and ex-spouses. This includes collecting data needed to provide and administer pay, salary and retirement entitlements.
*Affected Public:* Individuals or Households and Federal Government.
*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:
• *Federal eRulemaking Portal: http://www.regulations.gov* . Follow the instructions for submitting comments.
*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 *[email protected]* .
Dated: August 26, 2019.
Shelly E. Finke,
Alternate OSD Federal Register Liaison Officer, Department of Defense.