Information Collection

Medical Screening of Military Personnel

IC 5500 under ICR 201808-0704-004 · OMB 0704-0413.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0413 can be found here:

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

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	773,003	773,003
Annual IC Time Burden (Hours)	128,834	128,834
Annual IC Cost Burden (Dollars)	934,043	934,043

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.