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Federal forms, ICRs, and supporting documents

Information Collection

DLA CYP Health Screening/Assessment (DLA Forms 1855/1855-1)

IC 234110 under ICR 202202-0704-005 · OMB 0704-0582.

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DLA CYP Health Screening/Assessment (DLA Forms 1855/1855-1)
 
No Removed
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DLA Form 1855 DLA Child and Youth Program (CYP) Health/Developmental Screening DL1855 - OMB Review Final.pdf Yes Yes Fillable Fileable Signable
Form DLA Form 1855-1 DLA Child and Youth Program (CYP) Health Assessment for Enrollment and Renewal DL1855-1 - OMB Review Final.pdf Yes Yes Fillable Fileable Signable

Defense and National Security Operational Defense

 

828 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 0 0 -1,656 0 0 1,656
Annual IC Time Burden (Hours) 0 0 -132 0 0 132
Annual IC Cost Burden (Dollars) 0 0 -2,915 0 0 2,915

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