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OPNAV Form 5720/15, "Medical Questionnaire for Non-Military Personnel to Fly in U.S. Navy Blue Angels Aircraft
Navy Flight Demonstration Squadron (Blue Angels) Backseat Rider Programs Forms
OMB: 0703-0073
IC ID: 235851
OMB.report
DOD/NAVY
OMB 0703-0073
ICR 202205-0703-001
IC 235851
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OPNAV Form 5720/15, "Medical Questionnaire for Non-Military Personnel to Fly in U.S. Navy Blue Angels Aircraft
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection 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
Federal Enterprise Architecture Business Reference Module
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 %
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
96
0
0
0
0
96
Annual IC Time Burden (Hours)
48
0
0
0
0
48
Annual IC Cost Burden (Dollars)
1,407
0
68
0
0
1,339
Documents for IC
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.