Information Collection

OPNAV Form 5720/15, "Medical Questionnaire for Non-Military Personnel to Fly in U.S. Navy Blue Angels Aircraft

IC 235851 under ICR 202205-0703-001 · OMB 0703-0073.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPNAV 5720/15 OPNAV Form 5720/15, "Medical Questionnaire for Non-Military Personnel to Fly in U.S. Navy Blue Angels Aircraft	Form
OPNAV 5720/15 F/A-18 Medical Questionnaire DRAFT (2022 REV) OPNAV 5720 15.pdf	Form
OPNAV 5720/15 F/A-18 Medical Questionnaire DRAFT (2022 REV) OPNAV 5720 15.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OPNAV 5720/15	F/A-18 Medical Questionnaire	DRAFT (2022 REV) OPNAV 5720 15.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 96

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	96	0	96
Annual IC Time Burden (Hours)	48	0	48
Annual IC Cost Burden (Dollars)	1,407	68	1,339

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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