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Screening and Monitoring of DoD Personnel Deployed to Ebola Outbreak Areas
Screening and Monitoring of DoD Personnel Deployed to Ebola Outbreak Areas
OMB: 0720-0056
IC ID: 213534
OMB.report
DOD/DODOASHA
OMB 0720-0056
ICR 201805-0720-002
IC 213534
( )
Documents and Forms
Document Name
Document Type
Form DD-2990
Screening and Monitoring of DoD Personnel Deployed to Ebola Outbreak Areas
Form and Instruction
DD-2990 Ebola Virus Disease Exposure Risk Evaluation (In Theater
DD-2990.pdf
Form and Instruction
DD-2991 Ebola Virus Disease Redeployment Risk Assessment and Med
DD-2991.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Screening and Monitoring of DoD Personnel Deployed to Ebola Outbreak Areas
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
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
DD-2990
Ebola Virus Disease Exposure Risk Evaluation (In Theater Use Only)
DD-2990.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
DD-2991
Ebola Virus Disease Redeployment Risk Assessment and Medical Clearance
DD-2991.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
2,400
0
0
0
0
2,400
Annual IC Time Burden (Hours)
480
0
0
0
0
480
Annual IC Cost Burden (Dollars)
11,928
0
-2,510
0
0
14,438
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.