Report of Physical Examination

Report of Physical Examination

OMB: 0420-0549

IC ID: 200941

Information Collection (IC) Details

View Information Collection (IC)

Report of Physical Examination PC1790S
 
Yes Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction PC-1790-S Report of Physical Examination Report Physical Exam form.docx Yes Yes Fillable Fileable

International Affairs and Commerce International Development and Humanitarian Aid

Volunteer Applicant and Service Records  70 FR 1

5,600 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,600 0 0 0 5,600 0
Annual IC Time Burden (Hours) 8,400 0 0 0 8,400 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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