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Addendum: Commissioned Corps Personal Statement

IC 223158 under ICR 202312-0937-001 · OMB 0937-0025.

Documents and Forms
Document Name
Document Type
Other-Personal Statement
Other-Personal Statement
Information Collection (IC) Details

View Information Collection (IC)

Addendum: Commissioned Corps Personal Statement
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Personal Statement PHS_PersonalStatement 2023 Submission.docx Yes Yes Fillable Fileable Signable

Health Health Care Services

 

3,500 0
   
Individuals or Households
 
   0 %

  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 3,500 0 0 0 0 3,500
Annual IC Time Burden (Hours) 875 0 0 0 0 875
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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