[Federal Register Volume 61, Number 175 (Monday, September 9, 1996)]
[Notices]
[Page 47483]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-22863]


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DEPARTMENT OF DEFENSE

Public Information Collection Requirement Submitted to the Office 
of Management and Budget (OMB) for Review

ACTION: Notice.

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    The Department of Defense has submitted to OMB for clearance, the 
following proposal for collection of information under the provisions 
of the Paperwork Reduction Act (44 U.S.C. Chapter 35).
    Title, Applicable Form, and OMB Control Number: Professional 
Qualification, Medical and Peer Reviewers; CHAMPUS Form 780; OMB Number 
0720-0005.
    Type of Request: Reinstatement, without change.
    Number of Respondents: 20.
    Responses Per Respondent: 1.
    Annual Responses: 20.
    Average Burden Per Response: 30 minutes.
    Annual Burden Hours: 10.
    Needs and Uses: The information collected hereby, is used as 
evidence of the qualifications of the medical professionals who provide 
medical and peer review in the CHAMPUS appeal and hearing process. 
Respondents to this information collection are the reviewing medical 
professionals, and the information provided is maintained in the 
respective appeal or hearing case file.
    Affected Public: Business of other for-profit; Individuals or 
households.
    Frequency: On occasion.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Ms. Allison Eydt.
    Written comments and recommendations on the proposed information 
collection should be sent to Ms. Eydt at the Office of Management and 
Budget, Desk Officer to DoD, Room 10235, New Executive Office Building, 
Washington, DC 20503.
    DOD Clearance Officer: Mr. William Pearce.
    Written requests for copies of the information collection proposal 
should be sent to Mr. Pearce, WHS/DIOR, 1215 Jefferson Davis Highway, 
Suite 1204, Arlington, VA 22202-4302.

    Dated: September 3, 1996.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 96-22863 Filed 9-6-96; 8:45 am]
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