Information Collection Request

Department of the Navy (DON) Reasonable Accommodations (RA) Tracker

ICR 202501-0703-002 · OMB 0703-0063 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SECNAV 12306/1 Confirmation of Reasonable Accommodation Request Form and Instruction Modified Available
Form SECNAV 12306/1 Confirmation of Reasonable Accommodation Request Form and Instruction Modified Missing upstream
0703-0063_PIA_12.3.2024.pdf Supplementary Document Uploaded 2025-03-05 Repair queued
0703-0063_PIA_8.27.2024.pdf Supplementary Document Uploaded 2025-01-16 Available
0703-0063_SSA_1.27.2025.docx Supporting Statement A Uploaded 2025-03-05 Repair queued
0703-0063_SSA_1.13.2025.docx Supporting Statement A Uploaded 2025-01-16 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
218795 Confirmation of Reasonable Accommodation Request Form and Instruction ModifiedConfirmation of Reasonable Accommodation Request
218795 Confirmation of Reasonable Accommodation Request Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2028 36 Months From Approved 03/31/2025
3,000 0 2,000
1,000 0 667
48,690 0 33,220





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Confirmation of Reasonable Accommodation Request SECNAV 12306/1

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,000 2,000 0 1,000 0 0
Annual Time Burden (Hours) 1,000 667 0 333 0 0
Annual Cost Burden (Dollars) 48,690 33,220 0 15,470 0 0


Reginfo record details
  No