View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0704-0413	ICR Reference No: 201003-0704-013
Status: Historical Active	Previous ICR Reference No: 200701-0704-003
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Medical Screening of Military Personnel
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/15/2010
	Date Received in OIRA: 03/31/2010
Terms of Clearance: This collection is approved with the understanding DOD will will re-submit in a year addressing the concerns provided in OMB's passback of April 30, 2010. In particular, DOD must provide a re-write of the privacy section of the form to describe and link to the routine uses. This collection can be re-submitted without a 60 day notice.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2011	36 Months From Approved	06/30/2010
Responses	850,000	0	850,000
Time Burden (Hours)	135,833	0	135,833
Cost Burden (Dollars)	1,047,291	0	761,770

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	850,000	850,000	0
Annual Time Burden (Hours)	135,833	135,833	0
Annual Cost Burden (Dollars)	1,047,291	761,770	285,521

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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