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DD-2792 Family Member Medical Summary (Medical Providers)
Exceptional Family Member Program
OMB: 0704-0411
IC ID: 242889
OMB.report
DOD/DODDEP
OMB 0704-0411
ICR 202308-0704-004
IC 242889
( )
Documents and Forms
Document Name
Document Type
Form DD Form 2792
DD-2792 Family Member Medical Summary (Medical Providers)
Form and Instruction
DD Form 2792 Family Member Medical Summary (Medical Providers)
dd2792 Unlocked - OMB update 20230502.pdf
Form and Instruction
Information Collection (IC) Details
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