Complaint Contact Sheet

0704-0610_Complaint Contact_Participants.docx

On-Site Installation Evaluations

Complaint Contact Sheet

OMB: 0704-0610

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If you have questions about your rights as a participant

or need to report a participation related injury or

concern, you can contact:


Dr. Andrew Moon

Office of Command Climate and Well-Being Integration

Office of Force Resiliency

andrew.m.moon4.civ@mail.mil



AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information, 0704-0610, is estimated to average 1.25 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. OMB CONTROL NUMBER:  0704-0610 

OMB EXPIRATION DATE: 03/31/2025




If you have questions about your rights as a participant

or need to report a participation related injury or

concern, you can contact:


Dr. Andrew Moon

Office of Command Climate and Well-Being Integration

Office of Force Resiliency

andrew.m.moon4.civ@mail.mil



AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information, 0704-0610, is estimated to average 1.25 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. OMB CONTROL NUMBER:  0704-0610 

OMB EXPIRATION DATE: 03/31/2025




If you have questions about your rights as a participant

or need to report a participation related injury or

concern, you can contact:


Dr. Andrew Moon

Office of Command Climate and Well-Being Integration

Office of Force Resiliency

andrew.m.moon4.civ@mail.mil



AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information, 0704-0610, is estimated to average 1.25 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. OMB CONTROL NUMBER:  0704-0610 

OMB EXPIRATION DATE: 03/31/2025




If you have questions about your rights as a participant

or need to report a participation related injury or

concern, you can contact:


Dr. Andrew Moon

Office of Command Climate and Well-Being Integration

Office of Force Resiliency

andrew.m.moon4.civ@mail.mil



AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information, 0704-0610, is estimated to average 1.25 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. OMB CONTROL NUMBER:  0704-0610 

OMB EXPIRATION DATE: 03/31/2025






File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorGray, Elizabeth L (Gizzy) CIV OSD OUSD P-R (USA)
File Modified0000-00-00
File Created2025-02-28

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