Exceptional Family Member Program

OMB 0704-0411

This information collection requirement is necessary to screen members of military families to determine if they have special medical (DD Form 2792) and/or educational (DD Form 2792-1) conditions so that these conditions can be taken into consideration when the Service member is being assigned to a new location with his/her family. The information is used by the personnel system to identify special considerations for future assignments.

The latest form for Exceptional Family Member Program expires 2023-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DD Form 2792 DD-2792 Family Member Medical Summary (Family Members) Form and Instruction
Form DD Form 2792-1 DD 2792-1 Special Education/ Early Intervention Summary (Special Education Teachers) Form and Instruction
Form DD Form 2792 DD-2792 Family Member Medical Summary (Medical Providers) Form and Instruction
Form DD Form 2792-1 DD 2792-1 Early Intervention/Special Education Summary (Family Members) Form and Instruction
0704-0411_SSA_8.17.2023.docx Supporting Statement A
DD-2792 Family Member Medical Summary (Family Members) Form and Instruction
DD 2792-1 Special Education/ Early Intervention Summary (Special Education Teachers) Form and Instruction
DD-2792 Family Member Medical Summary (Medical Providers) Form and Instruction
DD 2792-1 Early Intervention/Special Education Summary (Family Members) Form and Instruction

All Historical Document Collections

202308-0704-004 Approved with change	Revision of a currently approved collection	2023-09-19
202007-0704-014 Approved without change	Reinstatement without change of a previously approved collection	2020-07-30
202005-0704-002 Improperly submitted and continue	Reinstatement with change of a previously approved collection	2020-06-05
201406-0704-002 Approved without change	Revision of a currently approved collection	2014-06-23
201101-0704-002 Approved without change	Extension without change of a currently approved collection	2011-01-31
200608-0704-007 Approved without change	Extension without change of a currently approved collection	2006-08-30
200307-0704-002 Approved without change	Reinstatement with change of a previously approved collection	2003-07-08
200001-0704-001 Approved without change	New collection (Request for a new OMB Control Number)	2000-01-19

OMB Details

DD-2792 Family Member Medical Summary (Family Members)

Federal Enterprise Architecture: Defense and National Security - Operational Defense

Form DD Form 2792

Family Member Medical Summary

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.