Professional Qualifictions, Medical and Peer Reviewers

Professional Qualifictions, Medical and Peer Reviewers

OMB: 0720-0005

IC ID: 5569

Information Collection (IC) Details

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Professional Qualifictions, Medical and Peer Reviewers
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CHAMPUS FORM 780 Professional Qualifications Medical/Peer Reviewers CHAMPUSFORM780.pdf No   Paper Only

Defense and National Security Operational Defense

 

60 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 60 0 0 0 0 60
Annual IC Time Burden (Hours) 15 0 0 0 0 15
Annual IC Cost Burden (Dollars) 750 0 0 750 0 0

Title Document Date Uploaded
TRICARE Operations Manual 6010.15-M OPS MANUAL 6010.51 CH13.pdf 08/31/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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