Information Collection

Confirmation of Reasonable Accommodation Request

IC 218795 under ICR 201811-0703-001 · OMB 0703-0063.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0703-0063 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SECNAV 12306/1 Confirmation of Reasonable Accommodation Request	Form and Instruction
SECNAV 12306/1 Confirmation of Reasonable Accommodation Request 0703-0063_SECNAV123061_11.20.2018.pdf	Form and Instruction

IC Title:

Confirmation of Reasonable Accommodation Request

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:

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	SECNAV 12306/1	Confirmation of Reasonable Accommodation Request	0703-0063_SECNAV123061_11.20.2018.pdf		Yes	No	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Strategic National and Theater Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,000	-100	2,000	100
Annual IC Time Burden (Hours)	667	-33	667	33
Annual IC Cost Burden (Dollars)	32,180	-1,543	32,180	1,543

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.