Billing Code: 6001-FR
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2024-OS-0069]
Proposed Collection; Comment Request
AGENCY: Office of the Under Secretary of Defense for Personnel and Readiness
(OUSD(P&R)), Department of Defense (DoD).
ACTION: 60-day information collection notice.
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the Under Secretary of
Defense for Personnel and Readiness announces the proposed public information collections and
seeks public comment on the provisions thereof. Comments are invited on: whether the
proposed collections of information are necessary for the proper performance of the functions of
the agencies, including whether the information shall have practical utility; the accuracy of the
agencies' estimate of the burden of the proposed information collection; ways to enhance the
quality, utility, and clarity of the information to be collected; and ways to minimize the burden of
the information collections on respondents, including through the use of automated collection
techniques or other forms of information technology.
DATES: Consideration will be given to all comments received by [INSERT 60 DAYS AFTER
DATE OF PUBLICATION IN THE FEDERAL REGISTER].
ADDRESSES: You may submit comments, identified by docket number and title, by any of the
following methods:
Federal eRulemaking Portal: http://www.regulations.gov. Follow the instructions for
submitting comments.
Mail: Department of Defense, Office of the Assistant to the Secretary of Defense for
Privacy, Civil Liberties, and Transparency, Regulatory Directorate, 4800 Mark Center Drive,
Mailbox #24, Suite 08D09, Alexandria, VA 22350-1700.

Instructions: All submissions received must include the agency name, docket number and title
for this Federal Register document. The general policy for comments and other submissions
from members of the public is to make these submissions available for public viewing on the
Internet at http://www.regulations.gov as they are received without change, including any
personal identifiers or contact information.
FOR FURTHER INFORMATION CONTACT: To request more information on these
proposed information collections or to obtain a copy of the proposal and associated collection
instruments, please write to DoD, Physical Disability Board of Review (PDBR), 3351 Celmers
Lane, Joint Base Andrews 20762, Phyllis M. Joyner, 240-612-4392.
SUPPLEMENTARY INFORMATION:
TITLE; ASSOCIATED FORM; AND OMB NUMBER: Application for Review by the
PDBR; DD Form 294; OMB Control Number 0704-0453.
NEEDS AND USES: The Fiscal Year 2008 National Defense Authorization Act amended Title
10, United States Code by adding Section 1554a. That provision of law directs the Secretary of
Defense to establish a board of review to review the disability determinations of covered
individuals by Physical Evaluation Boards. Covered individuals are members and former
members of the armed forces who, during the period beginning on September 11, 2001, and
ending on December 31, 2009, were (1) separated from the armed forces due to unfitness for
duty due to a medical condition with a disability rating of 20 percent disabled or less; and (2) are
found to be not eligible for retirement. On June 27, 2008, The Department of Defense published
DoDI 6040.44, which provides the guidance for this process.
The DD Form 294, “Application for Review by the PDBR of the Rating Awarded
Accompanying a Medical Separation from the Armed Forces of the United States,” is designed
to collect the information necessary to retrieve the medical separation and Department of
Veterans Affairs records and correct military personnel and pay records.
AFFECTED PUBLIC: Individuals or households.

ANNUAL BURDEN HOURS: 180.
NUMBER OF RESPONDENTS: 240.
RESPONSES PER RESPONDENT: 1.
ANNUAL RESPONSES: 240.
AVERAGE BURDEN PER RESPONSE: 45 minutes.
FREQUENCY: On occasion.

Dated: June 12, 2024.

Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer,
Department of Defense.

[FR Doc. 2024-13461 Filed: 6/18/2024 8:45 am; Publication Date: 6/20/2024]