OMB control number
Personnel Accountability and Assessment for a Public Health Emergency
OMB 0720-0067 · DOD/DODOASHA.
OMB 0720-0067
The principal purpose of the DD form 3112, “Personnel Accountability and Assessment Notification for a Public Health Emergency,” is to collect information used to protect the health and safety of individuals working in, residing on, or assigned to DoD installations, facilities, field operations, and commands, and to protect the DoD mission.
The latest form for Personnel Accountability and Assessment for a Public Health Emergency expires 2027-03-31 and is listed under ICR 202308-0720-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DD Form 3112 Personnel Accountability and Assessment for a Public Health Emergency | Form and Instruction |
 0720-0067_SSA_1.9.24.docx | Supporting Statement A |
 Personnel Accountability and Assessment for a Public Health Emergency |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202308-0720-002 | Revision of a currently approved collection | 2024-01-10 | Approved without change | |
| 202103-0720-001 | No material or nonsubstantive change to a currently approved collection | 2021-03-17 | Approved without change | |
| 202010-0720-001 | Revision of a currently approved collection | 2020-10-19 | Approved without change | |
| 202009-0720-001 | New collection (Request for a new OMB Control Number) | 2020-09-17 | Approved with change |