Application for a Review by the Physical Disability Board of Review

ICR 200812-0704-004

OMB: 0704-0453

Federal Form Document

IC Document Collections
ICR Details
0704-0453 200812-0704-004
Historical Active
DOD/DODDEP
Application for a Review by the Physical Disability Board of Review
New collection (Request for a new OMB Control Number)   No
Emergency 12/30/2008
Approved without change 12/31/2008
Retrieve Notice of Action (NOA) 12/23/2008
  Inventory as of this Action Requested Previously Approved
06/30/2009 6 Months From Approved
1,800 0 0
1,350 0 0
0 0 0

Former members of the Armed Forces who were separated form the Armed Forces during the period beginning on September 11, 2001 and ending on December 31, 2009 due to unfitness for duty due to a medical condition with a disability rating of 20 percent disabled or less and were found to be not eligible for retirement may request a review of the decision. Agency will use information obtained to review the decision in accordance with the requirements in 10 USC 1554(a) for fairness and accuracy.
The Department of Defense cannot reasonably comply with the normal clearance procedures under 5 CFR 1320 since such compliance could cause public harm to specific individuals who are waiting to be granted TRICARE coverage and would delay compliance with the statutory requirements in 10 U.S.C. 1554(a). This provision of law directs the Secretary of Defense to establish a Physical Disability Board of Review to review disability determinations of individuals who were separated from the armed forces during the period, September 11, 2001 through December 31, 2009 due to unfitness for duty due to a medical condition with a disability rating of 20 percent disabled or less; and were found ineligible for retirement.

US Code: 10 USC 1554(a) Name of Law: null
  
US Code: 10 USC 1554(a) Name of Law: null

Not associated with rulemaking

No

1
IC Title Form No. Form Name
Application for a Review by the Physical Disability Board of Review DD Form 294 Application for a Review by the Physical Disability Board of Review

  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 1,800 0 1,800 0 0 0
Annual Time Burden (Hours) 1,350 0 1,350 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
New Collection

No
No
Uncollected
Uncollected
Uncollected
Uncollected
Patricia Toppings 703 696-5284 [email protected]

  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.
12/23/2008


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