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Medical Screening of Military Personnel
Medical Screening of Military Personnel
OMB: 0704-0413
IC ID: 5500
OMB.report
DOD/DODDEP
OMB 0704-0413
ICR 201808-0704-004
IC 5500
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0413 can be found here:
2024-10-22 - Revision of a currently approved collection
2021-09-27 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DD Form 2807-1
Medical Screening of Military Personnel
Form
DD Form 2807-1 Report of Medical History
dd2807-1_20171017.pdf
Form
DD Form 2807-2 Accessions Medical History Report
DD2807-2 20180409.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Medical Screening of Military Personnel
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DD Form 2807-1
Report of Medical History
dd2807-1_20171017.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
DD Form 2807-2
Accessions Medical History Report
DD2807-2 20180409.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
423,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
95 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
773,003
0
0
0
773,003
0
Annual IC Time Burden (Hours)
128,834
0
0
0
128,834
0
Annual IC Cost Burden (Dollars)
934,043
0
0
0
934,043
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.