OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Medical Clearance Process for Deployment to the Polar Regions

IC 211404 under ICR 202009-3145-001 · OMB 3145-0177.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Medical Clearance Process for Deployment to the Polar Regions
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NSF 1700 Polar Medical Forms NSF 2017 PLR Med forms rev May 2017_v5.pdf Yes No Fillable Printable

Education Higher Education

 

3,650 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   90 %

  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 3,650 0 0 0 0 3,650
Annual IC Time Burden (Hours) 36,500 0 0 0 0 36,500
Annual IC Cost Burden (Dollars) 1,168,000 0 0 0 0 1,168,000

Title Document Date Uploaded
Polar Participation Letter Participation Letter.docx 06/23/2017
Polar Physical Qualification letter PQEmail-ASC_v2.docx 06/23/2017
OPP Mandatory Reading for Polar Medical forms 3145-0177 Mandatory Reading.pdf 06/23/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.