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Form CHAMPUS FORM 780 CHAMPUS FORM 780 Professional Qualifications Medical/Peer Reviewers
Professional Qualifictions, Medical and Peer Reviewers
CHAMPUSFORM780
Professional Qualifictions, Medical and Peer Reviewers
OMB: 0720-0005
OMB.report
DOD/DODOASHA
OMB 0720-0005
ICR 200708-0720-002
IC 5569
Form CHAMPUS FORM 780 CHAMPUS FORM 780 Professional Qualifications Medical/Peer Reviewers
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0720-0005 can be found here:
2022-04-29 - Revision of a currently approved collection
2021-02-26 - Revision of a currently approved collection
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File Modified
2007-07-05
File Created
2007-07-05
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