Report of Physical Examination

Report of Physical Examination

OMB: 0420-0549

IC ID: 200941

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Report of Physical Examination PC1790S
 
Yes Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction PC-1790S Physical Examination Form PC-1790-S_Physical_Exam_2020.docx Yes Yes Fillable Fileable

International Affairs and Commerce International Development and Humanitarian Aid

Volunteer Applicant and Service Records  70 FR 1

10,200 0
   
Individuals or Households
 
   100 %

  Requested 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 10,200 0 4,600 0 5,600 0
Annual IC Time Burden (Hours) 22,950 0 14,550 0 8,400 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy