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Diagnostic Evaluation, Program For The Handicapped
DIAGNOSTIC EVALUATION, PROGRAM FOR THE HANDICAPPED
OMB: 0704-0098
IC ID: 165204
OMB.report
DOD/DODDEP
OMB 0704-0098
ICR 198904-0704-026
IC 165204
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0098 can be found here:
1989-08-18 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DIAGNOSTIC EVALUATION, PROGRAM FOR THE HANDICAPPED
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CHAMPUS
No
No
Form
141
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
840
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
840
0
0
0
0
840
Annual IC Time Burden (Hours)
840
0
0
0
0
840
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.