OMB control number

Exceptional Family Member Program (EFMP) Family Needs Assessment

OMB 0704-0580 ยท DOD/DODDEP.

OMB 0704-0580

This information collection is necessary to address current differences in assessment processes and inconsistent transfer of cases across the Services. With this standardized form, installation-level EFMP Family Support Offices can provide a family support experience that is consistent across the Services and maintains continuity of services when military families with special needs have Permanent Change of Station (PCS) orders to a joint base or sister-Service location.

The latest form for Exceptional Family Member Program (EFMP) Family Needs Assessment expires 2028-05-31 and is listed under ICR 202412-0704-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form DD 3054 Family Needs AssessmentForm
0704-0580_SSA_1.16.2025.docxSupporting Statement A
Family Needs Assessment Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202412-0704-003 Extension without change of a currently approved collection 2025-01-17
202108-0704-006 Revision of a currently approved collection 2022-01-28 Approved without change
201809-0704-003 New collection (Request for a new OMB Control Number) 2018-09-20 Approved without change