Information Collection

Credentials Evaluation Of Health Care Practitioners (previously Labeled "relevant Personnal & Professional Info To Enable The Afms To Make Decisions About Awarding,etc

IC 107920 under ICR 198805-0701-002 · OMB 0701-0097.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0701-0097 can be found here:

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Information Collection (IC) Details

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

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AF 1562				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,200	1,950	2,250
Annual IC Time Burden (Hours)	3,150	2,025	1,125
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.