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BUMEDINST 5210.9

FORMS AND REPORTS MANAGEMENT PROGRAM

QuestionAnswer
Echelon III-NAVMED Region forms (NAVMEDWEST), (NAVMEDEAST), (NAVMEDNCA), and NMSC. Forms established by a Navy Medicine Region for use by Navy Medical Department personnel in that Region are what level forms? Fifth Level Forms
What prescribed form (echelon II) is required to be used by all Navy Medicine Commands? NAVMED forms
The requirments for these forms vary and are based on the form specifics. Contact the BUMED FMO for assistance with new, revised, or cancelled forms at this level? First, Second, and Third Level Forms
DD Established for DOD-wide use are what level forms? Second level forms
What prescribed form is required to be used by all Echelon I and below commands? OPNAV/SECNAV
Which form field requirements are based the level of form? DD Form 67
What is the DOD forms manual? DoD 7750.07-M
SF/OF and other Federal Agency forms. Fors established by GSA or other Federal Agencies such as OPM and CDC for Government wide use are whta level forms? First level forms
What prescribed for (echelon III) is required to be used by the prescribing Region and all Echelon IV and below commands within that Region? Region forms
All Navy Medical Department Personnel must ensure copies of forms are generated from the approved source of supply and no more than what quantity may be maintained? 30 day supply
Echelon II - BUMED and NAVMED forms. Forms established by BUMED for used in more than one Navy Medicine command are what level forms? Second level forms
Approved electronic forms can be stored on local computer or device storage, however, to ensure outdated forms are not used, the forms approved source of supply must be checked for updates how often? Every 30 days
Echelon V and below. Navy Medicine Activity Form. Forms established by a Navy Medicine Activity for use in more than one Navy Medicine Command within a given activity are what level forms? Seventh Level forms
Region FMO's are responsible for reviewing and frequently used region forms yearly, and all region forms how often? every two years
Which form signed is required for each new, revised, or cancelled form and must be maintained in the form's case file? DD form 67
The region Form and Reports Management Officer will be responsible for ensuring region forms do not duplicate what forms in any way? Higher authority forms
Paper copies of forms cannot be generated from what? A copy of a copy
All forms capturing what require Flag or Senior Executive Services level approval prior to use? SSN
Which form, Form Processing Continuaton Sheet is used to capture additional names of concurring officials? NAVMED 5210/1
Notify BUMED-M09B31 of any change in appointment of the Forms and Reports Management Officer within how many calendar days of the change? within 7 days
What is the DOD memorandum addressing SSN usage? DTM-07-015
Per DID 7750.07-M DOD components shall do what to higher authority forms to avoid user access to outdated and obsolete forms? Use Hyperlinks to current database of forms
Echelon IV Navy Medicine Activity Forms. Forms established by a Navy Medicine Activity for used in more than one Navy Medicine command within a given activity are what level forms? sixth level forms
What is the Navy Medicine Records management program instruction? BUMEDINST 5210.10
DON forms (SECNAV, OPNAV, and NAVMC). Forms established for use in more than one Naval command are what level forms? Third level forms
What is an adopted MTF form is used by two or more Echelon V or below command? Each subordinate command has a prescribing document. Subordinate Activities
Who must maintain case files for all approved surveys? FMO
An RCS may be used for how many years from teh date of the requiring issuance? Three
Only these type of files are authorized to be posted to the Naval Forms Online Website? PDF
what is a replica of an official image created by computer software that is the best exactness of the official image that the software allows, some variants may be fonts, margins, and size of entry field?
What is an adopted MTF form is used by two or more Echelon V or below command? Each subordinate command has a prescribing document. Subordinate Activities
Who must maintain case files for all approved surveys? FMO
An RCS may be used for how many years from teh date of the requiring issuance? Three
Only these type of files are authorized to be posted to the Naval Forms Online Website? PDF
what is a replica of an official image created by computer software that is the best exactness of the official image that the software allows, some variants may be fonts, margins, and size of entry field? Mirror-like image
An adopted NAVMED form is used by two of more Echelon III commands. Each subordinate command has a prescribing document? Region
When two or more commands have the same form requirement, the form can either be adopted or what? Prescribed
Information requirements fall into one out of how many collection types? Seven
Paper/specialty forms with an annual usage greater than how many forms will be printed by the Documented Automated and Production Services (DAPS)in Philadelphia, and will be stocked and available for order at Navy Forms Online? 100
What is it called when an adopted Region form is used by two or more Echelone IV commands and each subordinate command has a prescribing document? Subordinate commands
Unless previously approved by whom, no form can be integrated into an electronic application without prior written approval, through chain of command, from what person? Functional area FMO
A prescribed NMC or MTF form (Echelon IV) is required to be used by the prescribing NMC or MTF and all Echelon what subordinate commands? Echelon V
What is the statement on a form that provides information to the individual completing the form so that they can make an informed decision about whether to provide the information? Privacy Act Statement
BUMED Reporst Manager review individual information collections at least every how many years? Every 3 years
Forms created for used within an electronic application shall not be printed and reproduced as what? blank forms
All information requirements(reports) require what? Issuing document
What is a physical file folder containing, at a minumum, the following: current and previous form images, signed DD Form 67, and the front page of all requiring documents? Case file
Only approved overprints or exceptions can be placed in a medical of dental record. What cannot be placed in a medical or dental record? NAVMED 6000/5
What is a situation in which the Office of Primary Responsibility(OPR) has approved a change to the content, format, or printing of an approved form? Exception
What is the time effort, or financial resources expended by persons to provide information to a Federal Agency called? Burden
Who may authorize local reproduction for paper/specialty forms with an annual usage less than 100 forms and are not available at DAPS? BUMED FMO
what type of OPNAV/SECNAV form is used by two or more Echelon II commands and each subordinate command has a prescribing document? Adopted
Created by: hull5518