Information Collection

Confirmation of Request for Reasonable Accommodation

IC 206772 under ICR 201907-0704-002 · OMB 0704-0498.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SD Form 0827 Confirmation of Request for Reasonable Accommodation	Form and Instruction
SD Form 0827 CONFIRMATION OF REQUEST FOR REASONABLE ACCOMMODATION 0345578 SD827 draft 20190801.pdf	Form and Instruction

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:

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	SD Form 0827	CONFIRMATION OF REQUEST FOR REASONABLE ACCOMMODATION	0345578 SD827 draft 20190801.pdf		Yes	Yes	Fillable Fileable Signable

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	210	210

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.