Department of Defense Medical Examination Review Board Medical Information Collection Forms
Extension without change of a currently approved collection
No
Regular
Approved without change
11/01/2006
08/29/2006
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
11/30/2009
36 Months From Approved
10/31/2006
30,000
0
30,000
30,000
0
30,000
300,000
0
0
Information will be used to access a medical qualification/disqualification status for individuals applying to one or more United States Military Service Academies, Reserve Officer Training Corps (ROTC) College Scholarship Programs, or the Uniformed Services University of Health Sciences (USUHS). Respondents are individuals interested in serving in the military and attending one of the military academies, ROTC College Scholarship Programs, or USUHS.
DD Form 2489, DD Form 2374, DD Form 2351, DD Form 2370, DD Form 2372, DD Form 2382, DD Form 2492, DD Form 2381, DD Form 2378, DD Form 2369, DD Form 2379, DD Form 2380
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.
Department of Defense Medical Examination Review Board Medical Information Collection Forms