Confirmation of Request for Reasonable Accommodation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0498 can be found here:

Documents and Forms

Document Name Document Type
Form SD Form 827 Confirmation of Request for Reasonable Accommodation Form and Instruction
SD Form 827 Confirmation of Request for Reasonable Accommodation SD827 20160728.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Confirmation of Request for Reasonable Accommodation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SD Form 827	Confirmation of Request for Reasonable Accommodation	SD827 20160728.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: Reasonable Accommodation Program Records	FR Citation: 79 FR 49763

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20	0	20
Annual IC Time Burden (Hours)	5	0	5
Annual IC Cost Burden (Dollars)	210	210	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.