Professional Qualifications Medical/Peer Reviewers

Professional Qualifications, Medical and Peer Reviewers

OMB: 0720-0005

IC ID: 5569

Information Collection (IC) Details

View Information Collection (IC)

Professional Qualifications Medical/Peer Reviewers
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DHA 780 Professional Qualifications Medical Peer Reviewers DHA780_ProfQualMedPeerReview_20220427_RE.pdf Yes Yes Fillable Fileable Signable

Defense and National Security Operational Defense

 

60 0
   
Private Sector Businesses or other for-profits
 
   99 %

  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) 20 0 0 0 0 20
Annual IC Cost Burden (Dollars) 2,000 0 0 0 0 2,000

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