Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
DD Form 3040 - Screening Verification Modified 35173 5862 42559 Form and Instruction DD Form 3040 Screening Verification
DD Form 3040-1 Medical and Educational Information New 84414 42207 306001 Form and Instruction DD Form 3040-1 Medical and Educational Information
DD Form 3040-2 - Dental Health Information New 101298 25325 2140933 Form and Instruction DD Form 3040-2 Dental Health Information
DD Form 3040-3 - Patient Care Review New 46147 11537 1115373 Form and Instruction DD Form 3040-3 Patient Care Review
Total burden requested under this ICR: 267032 84931 3604866  
To view an IC, click on IC Title