Confirmation of Reasonable Accommodation Request

Department of the Navy (DON) Reasonable Accommodations (RA) Tracker

Documents and Forms

Document Name Document Type
Form SECNAV 12306/1 Confirmation of Reasonable Accommodation Request Form and Instruction
SECNAV 12306/1 Confirmation of Reasonable Accommodation Request SECNAV 12306 1 Final RE w CUI.pdf Form and Instruction
SECNAV 12306/1 Confirmation of Reasonable Accommodation Request SECNAV 12306 1 Final RE w CUI.pdf Form and Instruction

Information Collection (IC) Details

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:

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	SECNAV 12306 1 Final RE w CUI.pdf		Yes	No	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: Human Resources Civilian Portfolio	FR Citation: 77 FR 25993

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,000	0	2,000
Annual IC Time Burden (Hours)	667	0	667
Annual IC Cost Burden (Dollars)	33,220	1,040	32,180

Documents for IC

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.