Information Collection Request

DoD Active Duty/Reserve Forces Dental Examination

ICR 202301-0720-001 · OMB 0720-0022 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0720-0022 can be found here:

Forms and Documents

Document Name	Status
Form DD Form 2813 DoD Active Duty/Reserve Forces Dental Examination Form	Unchanged
0720-0022_SS-A_1.27.2023.docx Supporting Statement A	2023-01-31
SIGNED SSN memo.pdf Supplementary Document	2019-12-20

IC Document Collections

IC ID	Document Title	Status
43598	DoD Active Duty/Reserve Forces Dental Examination Form	Unchanged

ICR Details

Status	Received in OIRA
Agency/Subagency	DOD/DODOASHA
OMB Control No	0720-0022
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	201912-0720-002
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31