DoD Active Duty/Reserve Forces Dental Examination

OMB 0720-0022

The DoD must obtain the dental health status of members of the active and reserve components for deployment readiness. This form is designed to be completed by members' civilian dentists and provided to the members military organization for tracking dental health status. This form includes uses by active component members assigned to remote locations.

The latest form for DoD Active Duty/Reserve Forces Dental Examination expires 2023-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DD Form 2813 DoD Active Duty/Reserve Forces Dental Examination Form
0720-0022_SS-A_1.27.2023.docx Supporting Statement A
SIGNED SSN memo.pdf Supplementary Document
DoD Active Duty/Reserve Forces Dental Examination Form

All Historical Document Collections

202301-0720-001 Approved without change	Extension without change of a currently approved collection	2023-01-31
201912-0720-002 Approved without change	Revision of a currently approved collection	2019-12-20
201608-0720-001 Approved with change	Revision of a currently approved collection	2016-08-31
201305-0720-001 Approved without change	Reinstatement with change of a previously approved collection	2013-05-15
200911-0720-002 Approved without change	Reinstatement without change of a previously approved collection	2009-11-13
200605-0720-002 Approved without change	Extension without change of a currently approved collection	2006-05-26
200212-0720-001 Approved without change	Revision of a currently approved collection	2002-12-23
199910-0720-001 Approved without change	New collection (Request for a new OMB Control Number)	1999-10-12