OMB control number
Confirmation of Request for Reasonable Accommodation
OMB 0704-0498 · DOD/DODDEP.
OMB 0704-0498
The information collection requirement is necessary to obtain and record requests for reasonable accommodation, with the intent to measure and ensure Agency compliance with 29 U.S.C. § 791, Employment of Individuals with Disabilities; E.O. 13164, Requiring Federal Agencies to Establish Procedures to Facilitate the Provision of Reasonable Accommodation; EEO MD-715, EEO Reporting Requirements for Federal Agencies.
The latest form for Confirmation of Request for Reasonable Accommodation expires 2028-08-31 and is listed under ICR 202512-0704-005.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form SD Form 827 Confirmation of Request for Reasonable Accommodation | Form and Instruction |
| PIA.pdf | Supplementary Document |
 0704-0498_SSA_12.29.25.docx | Supporting Statement A |
 Confirmation of Request for Reasonable Accommodation |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202512-0704-005 | Extension without change of a currently approved collection | 2025-12-29 | ||
| 202210-0704-002 | Extension without change of a currently approved collection | 2022-10-27 | Approved without change | |
| 201907-0704-002 | Extension without change of a currently approved collection | 2019-08-02 | Approved without change | |
| 201607-0704-004 | Extension without change of a currently approved collection | 2016-07-28 | Approved without change | |
| 201305-0704-003 | New collection (Request for a new OMB Control Number) | 2013-05-02 | Approved with change |