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 2026-07-31 and is listed under ICR 202210-0704-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SD Form 827 Confirmation of Request for Reasonable AccommodationForm and Instruction
PIA.pdfSupplementary Document
0704-0498_SSA_12.29.25.docxSupporting Statement A
Confirmation of Request for Reasonable Accommodation Form and Instruction

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