Information Collection

USM-602 Contract Guard Physical Examination Report

IC 229431 under ICR 202406-1105-004 · OMB 1105-0099.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USM-602 USM-602 Contract Guard Physical Examination Report	Form and Instruction
USM-602 Contract Guard Physical Examination Report Form USM-602, Contract Guard Physical Examination Report.pdf Provided directly to those who need to use it	Form and Instruction

IC Title:

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 and Instruction	USM-602	Contract Guard Physical Examination Report	Form USM-602, Contract Guard Physical Examination Report.pdf	Provided directly to those who need to use it	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: OPMGOVT-1, General Personnel Records

FR Citation: 76 FR 32997

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	46,713	46,713

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.