Information Collection

JCOC Medical Document

IC 239908 under ICR 202603-0704-005 · OMB 0704-0562.

Documents and Forms

Document Name Document Type
3 - JCOC93 Medical Form.pdf Other-JCOC Medical Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	JCOC Medical Document	Agency IC Tracking Number:	0704-0562

Is this a Common Form? No		IC Status: Unchanged

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
Other-JCOC Medical Form			3 - JCOC93 Medical Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: DPA DCR.A 01, Joint Civilian Orientation Conference (JCOC) Program	FR Citation: 58 FR 10227

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	240	240

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.

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