865.126—Sample report format.
| RCS: DD-M(SA) 1489 | ||||||
| [FY ___ ] | ||||||
| [ ________ ] | ||||||
| Record review | Hearing | Total | ||||
|---|---|---|---|---|---|---|
| Applied | Number approved | Applied | Number approved | Applied | Number approved | |
| Part 1 Regular Cases. | ||||||
| Part 2 Other. | ||||||
| Part 3 Total. | ||||||
| Part 4 Cases Outstanding. | ||||||
| Note: Identify numbers separately for regional DRB hearings. Use of additional footnotes to clarify or amplify the statistic being reported is encouraged. | ||||||