USAF QUALITY OF MEDICAL CARE SURVEY

ICR 198403-0701-001

OMB: 0701-0083

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
107892 Migrated
ICR Details
0701-0083 198403-0701-001
Historical Active
DOD/AF
USAF QUALITY OF MEDICAL CARE SURVEY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/03/1984
Retrieve Notice of Action (NOA) 03/28/1984
  Inventory as of this Action Requested Previously Approved
07/31/1986 07/31/1986
600 0 0
300 0 0
0 0 0

PRINCIPAL PURPOSE: SURVEY CONDUCTED TO GATHER ATTITUDES AND OPINIONS FROM RETIRED AIR FORCE MEMBERS ABOUT THE QUALITY OF MEDICAL CARE THEY RECEIVE FROM USAF MEDICAL FACILITIES. PROJECTED ADMINISTRATION START DATE IS 1 JULY 83.

None
None


No

1
IC Title Form No. Form Name
USAF QUALITY OF MEDICAL CARE SURVEY USAF 82-94

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 600 0 0 600 0 0
Annual Time Burden (Hours) 300 0 0 300 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/28/1984


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