CREDENTIALS EVALUATION OF HEALTH CARE PRACTITIONERS (PREVIOUSLY LABELED "RELEVANT PERSONNAL & PROFESSIONAL INFO TO ENABLE THE AFMS TO MAKE DECISIONS ABOUT AWARDING,ETC

ICR 198805-0701-002

OMB: 0701-0097

Federal Form Document

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ICR Details
0701-0097 198805-0701-002
Historical Active 198506-0701-001
DOD/AF
CREDENTIALS EVALUATION OF HEALTH CARE PRACTITIONERS (PREVIOUSLY LABELED "RELEVANT PERSONNAL & PROFESSIONAL INFO TO ENABLE THE AFMS TO MAKE DECISIONS ABOUT AWARDING,ETC
Revision of a currently approved collection   No
Regular
Approved without change 08/15/1988
Retrieve Notice of Action (NOA) 05/05/1988
  Inventory as of this Action Requested Previously Approved
06/30/1991 06/30/1991 06/30/1988
4,200 0 2,250
3,150 0 1,125
0 0 0

PRACTITIONERS SEEKING T JOIN OR BE EMPLOYED BY THE AIR FORCE TO PROVIDE PATIENT CARE MUST PROVIDE PERSONAL AND PROFESSIONAL INFORMATION SO THAT THEIR QUALIFICATIONS TO DO SO MAY BE OBJECTIVELY EVALUATED.

None
None


No

  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 4,200 2,250 0 0 1,950 0
Annual Time Burden (Hours) 3,150 1,125 0 0 2,025 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
05/05/1988


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