Medical Screening of Military Personnel

Medical Screening of Military Personnel-Medical History Report and Accession Medical History Report

OMB: 0704-0413

IC ID: 5500

Information Collection (IC) Details

View Information Collection (IC)

Medical Screening of Military Personnel
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DD Form 2807-1 Report of Medical History dd2807-1 draft 20210909.PDF Yes Yes Fillable Fileable
Form and Instruction DD Form 2807-2 Accessions Medical History Report dd2807-2 draft 20210921.PDF Yes Yes Fillable Fileable

Defense and National Security Operational Defense

 

423,000 0
   
Individuals or Households
 
   95 %

  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 773,003 0 0 0 0 773,003
Annual IC Time Burden (Hours) 128,834 0 0 0 0 128,834
Annual IC Cost Burden (Dollars) 934,043 0 0 0 0 934,043

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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