OMB control number
Family Member Travel Screening
OMB 0704-0560 ยท DOD/DODDEP.
OMB 0704-0560
The FMTS forms are used during the DoD FMTS process when active duty Service members with Permanent Change of Station (PCS) orders request Command sponsorship for accompanied travel to remote or OCONUS installations. These forms document any special medical, dental, and/or educational needs of dependents to assist in determining the availability of care at a new installation.
The latest form for Family Member Travel Screening expires 2028-08-31 and is listed under ICR 202412-0704-008.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DD Form 3040-4 DD Form 3040-4 - Administrative Review Checklist | Form and Instruction |
| Form DD Form 3040-3 DD Form 3040-3 - Patient Care Review | Form and Instruction |
| Form DD Form 3040-2 DD Form 3040-2 - Dental Health Information | Form and Instruction |
| Form DD Form 3040-1 DD Form 3040-1 Medical and Educational Information | Form and Instruction |
| Form DD Form 3040 DD Form 3040 - Screening Verification | Form and Instruction |
 0704-0560_SSA_1.6.25.docx | Supporting Statement A |
 DD Form 3040-4 - Administrative Review Checklist |
Form and Instruction |
| DD Form 3040-3 - Patient Care Review |
Form and Instruction |
| DD Form 3040-2 - Dental Health Information |
Form and Instruction |
| DD Form 3040-1 Medical and Educational Information |
Form and Instruction |
| DD Form 3040 - Screening Verification |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202412-0704-008 | Reinstatement with change of a previously approved collection | 2025-01-06 | ||
| 202203-0704-004 | Extension without change of a currently approved collection | 2022-06-28 | Approved without change | |
| 201905-0704-001 | Revision of a currently approved collection | 2019-05-17 | Approved without change | |
| 201610-0704-001 | New collection (Request for a new OMB Control Number) | 2016-10-12 | Approved without change |
OMB Details
DD Form 3040 - Screening Verification
Federal Enterprise Architecture: Defense and National Security - Operational Defense
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form DD Form 3040 | Screening Verification | Fillable Printable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.