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Federal forms, ICRs, and supporting documents

OMB control number

DoD Active Duty/Reserve Forces Dental Examination

OMB 0720-0022 · DOD/DODOASHA.

OMB 0720-0022

The DD Form 2813, “Department of Defense Active Duty/Reserve/Guard/Civilian Forces Dental Examination” is used by members of the Active and Reserve Components of the Armed Forces and certain DoD civilians to enable civilian dentists to document and report their dental health status. It is difficult for Reserve Component members to receive their routine dental care from Active Duty dentists, but they are required to document the fact that they have undergone an annual dental examination. Therefore, this form is used as a method for civilian dentists to confirm that an exam was completed and convey the dental health status of members of the Reserve Components and Active Duty Service Members in remote locations.

The latest form for DoD Active Duty/Reserve Forces Dental Examination expires 2029-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
0720-0022_SS-A_3.26.2026.docx (document unavailable)
Supporting Statement A
All Historical Document Collections
 Extension without change of a currently approved collection 2026-03-31
Approved without change
 Extension without change of a currently approved collection 2023-01-31
Approved without change
 Revision of a currently approved collection 2019-12-20
Approved with change
 Revision of a currently approved collection 2016-08-31
Approved without change
 Reinstatement with change of a previously approved collection 2013-05-15
Approved without change
 Reinstatement without change of a previously approved collection 2009-11-13
Approved without change
 Extension without change of a currently approved collection 2006-05-26
Approved without change
 Revision of a currently approved collection 2002-12-23
Approved without change
 New collection (Request for a new OMB Control Number) 1999-10-12