Justification for Non-Substantive Change

Non - Substantive change DS1843, DS1622 12 2023.docx

Medical History and Examination

Justification for Non-Substantive Change

OMB: 1405-0068

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Non-Substantive Change

MED Bureau would like to make some minor changes to the DS-1843 and DS-1622. These changes will clarify the wording on some of the questions to help collect the information from respondents. On the DS-1843 we would like to change the look back years from ten years to two years in the mental health section on page 2. We would like to change the title for question thirteen from Employment Statues to Special Assignment. The word “you” is being replaced with “examinee” to be consistent throughout the form.

On the DS-1622, we are changing the look back years from ten to two for the mental health questions.



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SBU - HEALTH


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJones, Nakeeda D
File Modified0000-00-00
File Created2023-12-18

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