Application for a Review by
the Physical Disability Board of Review
Reinstatement with change of a previously approved collection
No
Regular
07/14/2021
Requested
Previously Approved
36 Months From Approved
240
0
180
0
4,860
0
Former members of the Armed Forces who
were separated form the Armed Forces during the period beginning on
September 11, 2001 and ending on December 31, 2009 due to unfitness
for duty due to a medical condition with a disability rating of 20
percent disabled or less and were found to be not eligible for
retirement may request a review of the decision. Agency will use
information obtained to review the decision in accordance with the
requirements in 10 USC 1554(a) for fairness and accuracy.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.