Report of Dental Evaluation

Report of Dental Examinitaion

OMB: 0420-0546

IC ID: 198187

Information Collection (IC) Details

View Information Collection (IC)

Report of Dental Evaluation
 
Yes Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction PC-OMS-1790 Dental S Report of Dental Evaluation Report_of_Dental_Evaluation.pdf No   Paper Only

International Affairs and Commerce International Development and Humanitarian Aid

Volunteer Applicant and Service Records  70 FR 1

5,600 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 5,600 0 200 0 0 5,400
Annual IC Time Burden (Hours) 12,600 0 8,550 0 0 4,050
Annual IC Cost Burden (Dollars) 1,008,000 0 144,000 0 0 864,000

Title Document Date Uploaded
Supporting Statement Dental-SupportingStatement 2016.docx 01/31/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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