View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Department of Defense Medical Examination Review Board Medical Information Collection Forms
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DD Form 2351 Yes No Fillable Printable
Form DD Form 2369 Yes No Fillable Printable
Form DD Form 2370 Yes No Fillable Printable
Form DD Form 2372 Yes No Fillable Printable
Form DD Form 2374 Yes No Fillable Printable
Form DD Form 2378 Yes No Fillable Printable
Form DD Form 2379 Yes No Fillable Printable
Form DD Form 2380 Yes No Fillable Printable
Form DD Form 2381 Yes No Fillable Printable
Form DD Form 2382 Yes No Fillable Printable
Form DD Form 2489 Yes No Fillable Printable
Form DD Form 2492 Yes No Fillable Printable

Health

 

30,000 0
   
Individuals or Households
 
   0 %

  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 30,000 0 0 0 0 30,000
Annual IC Time Burden (Hours) 30,000 0 0 0 0 30,000
Annual IC Cost Burden (Dollars) 300,000 0 0 300,000 0 0

Title Document Date Uploaded
0704-0396 Signed 83-I 08/29/2006
Authority Links 08/29/2006
DoD Directive 6130.3 08/29/2006
AFJI36-2018 08/29/2006
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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