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Federal forms, ICRs, and supporting documents

Information Collection

DI-4015, Youth Conservation Corps Medical History Form

IC 242577 under ICR 202503-1093-001 · OMB 1093-0010.

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Form and Instruction
Form and Instruction
Form and Instruction
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DI-4015, Youth Conservation Corps Medical History Form
 
Yes Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DI-4015 YCC Medical History Form 1093-0010 FORM DI 4015 - YCC MEDICAL HISTIORY.(032025)docx.docx Yes Yes Fillable Fileable

Natural Resources Conservation, Marine and Land Management

INTERIOR/OS-25, YCC Enrollee Records  56 FR 41700

2,810 0
   
Individuals or Households
 
   75 %

  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 2,810 0 0 0 0 2,810
Annual IC Time Burden (Hours) 656 0 0 0 0 656
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.