Information Collection

DoD Active Duty/Reserve Forces Dental Examination

IC 43598 under ICR 202301-0720-001 · OMB 0720-0022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0720-0022 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2813 DoD Active Duty/Reserve Forces Dental Examination	Form
DD Form 2813 Department of Defense Active Duty / Reserve / Guard / Ci DD 2813 20160831.pdf	Form
DD Form 2813 Department of Defense Active Duty / Reserve / Guard / Ci DD 2813 20160831.pdf	Form

IC Title:

DoD Active Duty/Reserve Forces Dental Examination

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD Form 2813	Department of Defense Active Duty / Reserve / Guard / Civilian Forces Dental Examination	DD 2813 20160831.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	750,000	0	750,000
Annual IC Time Burden (Hours)	37,500	0	37,500
Annual IC Cost Burden (Dollars)	622,500	1,050	621,450

Documents for IC

table that charts IC Documents
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.