Information Collection

JCOC Medical Document

IC 239908 under ICR 202303-0704-005 · OMB 0704-0562.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0562 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
3 - JCOC93 Medical Form.pdf	Other-JCOC Medical Form
3 - JCOC93 Medical Form.pdf	Other-JCOC Medical Form

IC Title:

JCOC Medical Document

Agency IC Tracking Number:

0704-0562

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
Other-JCOC Medical Form			3 - JCOC93 Medical Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: DPA DCR.A 01, Joint Civilian Orientation Conference (JCOC) Program

FR Citation: 58 FR 10227

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	240	240

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.