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View ICR - OIRA Conclusion

OMB Control No: 0704-0413	ICR Reference No: 202109-0704-004
Status: Historical Active	Previous ICR Reference No: 201808-0704-004
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Medical Screening of Military Personnel-Medical History Report and Accession Medical History Report
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: 10/29/2021
	Date Received in OIRA: 09/27/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2024	36 Months From Approved	10/31/2021
Responses	773,003	0	773,003
Time Burden (Hours)	128,834	0	128,834
Cost Burden (Dollars)	934,043	0	934,043

Authorizing Statute(s): US Code: 10 USC 507 Name of Law: Extension of Enlistment for Members Needing Medical Care or Hospitalization
   US Code: 10 USC 505 Name of Law: Regular Components: Qualifications, Term, Grade
   US Code: 10 USC 532 Name of Law: Qualifications for Original Appointment as a Commissioned Officer
   US Code: 10 USC 978 Name of Law: Drug and Alcohol Abuse and Dependency: Testing of New Entrants
   US Code: 10 USC 1201 Name of Law: Regulars and Members on Active Duty for More than 30 Days: Retirement
   US Code: 10 USC 504 Name of Law: Persons Not Qualified
   US Code: 10 USC 1202 Name of Law: Regulars and Members on Active Duty for More than 30 Days: Temporary Disability Retired List
   US Code: 10 USC 4346 Name of Law: Cadets: Requirements for Admission

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	773,003	773,003
Annual Time Burden (Hours)	128,834	128,834
Annual Cost Burden (Dollars)	934,043	934,043

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:

Annual Cost to Federal Government: $3,188,161

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: LaTarsha Yeargins 571 372-2089 latarsha.r.yeargins.ctr@mail.mil

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