Information Collection

Medical Clearance Process for Deployment to the Polar Regions

IC 211404 under ICR 201404-3145-001 · OMB 3145-0177.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0177 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NSF-1700 Medical Clearance Process for Deployment to the Polar Regions	Form and Instruction
NSF-1700 Medical Clearance Process for Deployment to the Polar Re NSF 2017 Med forms ver submitted.docx	Form and Instruction

IC Title:

Medical Clearance Process for Deployment to the Polar Regions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NSF-1700	Medical Clearance Process for Deployment to the Polar Regions	NSF 2017 Med forms ver submitted.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,300	3,300
Annual IC Time Burden (Hours)	33,600	33,600
Annual IC Cost Burden (Dollars)	1,075,008	1,075,008

Documents for IC

table that charts IC Documents
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.