DoD Active Duty/Reserve Forces Dental Examination

ICR 200605-0720-002

OMB: 0720-0022

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
43598 Migrated
ICR Details
0720-0022 200605-0720-002
Historical Active 200212-0720-001
DOD/DODOASHA
DoD Active Duty/Reserve Forces Dental Examination
Extension without change of a currently approved collection   No
Regular
Approved without change 07/31/2006
Retrieve Notice of Action (NOA) 05/26/2006
  Inventory as of this Action Requested Previously Approved
07/31/2009 36 Months From Approved 07/31/2006
885,000 0 885,000
44,250 0 44,250
0 0 0

The DoD must obtain the dental health status of members of the active and reserve components for deployment readiness. This form is designed to be completed by members' civilian dentists and provided to the members military organization for tracking dental health status. This form includes uses by active component members assigned to remote locations.

None
None


No

1
IC Title Form No. Form Name
DoD Active Duty/Reserve Forces Dental Examination 2813

  Total Approved 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 885,000 885,000 0 0 0 0
Annual Time Burden (Hours) 44,250 44,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/26/2006


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