USM-602 Contract Guard Physical Examination Report

USMS Medical Forms

Documents and Forms

Document Name Document Type
Form USM-602 USM-602 Contract Guard Physical Examination Report Form and Instruction
USM-602 Contract Guard Physical Examination Report Form USM-602, Contract Guard Physical Examination Report.pdf Provided directly to those who need to use it Form and Instruction

Information Collection (IC) Details

IC Title:	USM-602 Contract Guard Physical Examination Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	USM-602	Contract Guard Physical Examination Report	Form USM-602, Contract Guard Physical Examination Report.pdf	Provided directly to those who need to use it	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: OPMGOVT-1, General Personnel Records	FR Citation: 76 FR 32997

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	46,713	46,713

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.