Forms Relating to Military Service Records

Forms Relating to Military Service Records

OMB: 3095-0039

IC ID: 32546

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Forms Relating to Military Service Records
 
No Modified
 
Required to Obtain or Retain Benefits
 
36 CFR 1228.164

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA-13036 Authorization for Release of Military Medical Patient Records NA 13036_07.doc http://www.archives.gov/st-louis/military-personnel/public/medical-records-veterans-access.html Yes Yes Fillable Printable
Form and Instruction NA 13042 Request for Information Needed to Locate Medical Records NA 13042_07.doc http://www.archives.gov/st-louis/military-personnel/other-medical-records.html Yes Yes Fillable Printable
Form and Instruction NA 13055 Request for Information Needed to Reconstruct Medical Data NA 13055_07.doc http://www.archives.gov/st-louis/military-personnel/alternate-record-sources.html Yes Yes Fillable Printable
Form and Instruction NA 13075 Questionnaire about Military Service NA 13075_07.doc http://www.archives.gov/st-louis/military-personnel/alternate-record-sources.html Yes Yes Fillable Printable

Education Cultural and Historic Preservation

 

79,800 0
   
Individuals or Households
 
   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 79,800 0 0 0 0 79,800
Annual IC Time Burden (Hours) 6,650 0 0 0 0 6,650
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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