Medical Screening of Military Personnel

Medical Screening of Military Personnel-Medical History Report and Accession Medical History Report

Documents and Forms

Document Name Document Type
Form DD Form 2807-1 Medical Screening of Military Personnel Form
DD Form 2807-1 Report of Medical History dd2807-1 for OMB review.pdf Form
DD Form 2807-2 Accessions Medical History Report dd2807-2 for OMB review.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Medical Screening of Military Personnel	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD Form 2807-1	Report of Medical History	dd2807-1 for OMB review.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	DD Form 2807-2	Accessions Medical History Report	dd2807-2 for OMB review.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 423,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Previously Approved
Annual Number of Responses for this IC	773,003	773,003
Annual IC Time Burden (Hours)	128,834	128,834
Annual IC Cost Burden (Dollars)	934,043	934,043

Documents for IC

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.