DoD Active Duty/Reserve Forces Dental Examination

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0720-0022 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 2813 DoD Active Duty/Reserve Forces Dental Examination Form
DD Form 2813 DoD Active Duty/Reserve Forces Dental Examination dd2813.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	DoD Active Duty/Reserve Forces Dental Examination	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD Form 2813	DoD Active Duty/Reserve Forces Dental Examination	dd2813.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	712,500	-172,500	885,000
Annual IC Time Burden (Hours)	35,625	-8,625	44,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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