CIVILIAN PHYSICIAN SURVEY

ICR 198101-0704-003

OMB: 0704-0142

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
108723
Migrated
ICR Details
0704-0142 198101-0704-003
Historical Active
DOD/DODDEP
CIVILIAN PHYSICIAN SURVEY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/11/1981
Retrieve Notice of Action (NOA) 01/26/1981
A copy of the Medical Readiness Report prepared from this survey will be provided to OMB/IRA when available.
  Inventory as of this Action Requested Previously Approved
07/31/1981 07/31/1981
6,105 0 0
3,053 0 0
0 0 0

BECAUSE OF THE CRITICAL SHORTFALL OF RESERVE PHYSICIANS, THIS SURVEY IS NECESSARY TO OBTAIN INFORMATION AS TO WHAT WILL ATTRACT PHYSICIANS TO JOIN AND REMAIN IN THE RESERVES. THE RESULTING DATA WILL BE UTILIZ BY OSD IN THE FORMATION OF MORE ATTRACTIVE AND SATISFYING LONG RANGE RESERVE PROGRAMS FOR PHYSICIANS.

None
None


No

1
IC Title Form No. Form Name
CIVILIAN PHYSICIAN SURVEY

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,105 0 0 6,105 0 0
Annual Time Burden (Hours) 3,053 0 0 3,053 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/26/1981


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