[Federal Register Volume 66, Number 27 (Thursday, February 8, 2001)]
[Notices]
[Page 9561]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-3225]


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DEPARTMENT OF DEFENSE

Department of the Air Force


Proposed Collection; Comment Request

ACTION: Notice.

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    In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction 
Act of 1995, the Air Force Medical Operations Agency announces the 
proposed extension of AF Form 1562, Credentials Evaluation of Health 
Care Practitioners. Comments are invited on: (a) whether the proposed 
collection of information is necessary for the proper performance of 
functions of the agency, including whether the information shall have a 
practical utility; (b) the accuracy of the agency's estimate of the 
burden of the proposed information collection; (c) ways to enhance 
quality, utility, and clarity of the information to be collected; (d) 
ways to minimize the burden of the information collection on 
respondents, including through the use of automated collection 
techniques or other forms of information technology.

DATES: Consideration will be given to all comments received by April 9, 
2001.

ADDRESSES: Written comments and recommendations on the proposed 
information collection should be sent to HQ USAF/SG, AFMOA/SGZC, 110 
Luke Avenue, Room 405, Bolling AFB, DC 20332-7050, ATTN: Lt Col Sharon 
Ahrari.

FOR FURTHER INFORMATION CONTACT: To request more information on this 
data collection instrument, please write to the above address or call 
(202) 767-4077.
    Title and Associated Form: Credentials Evaluation of Health Care 
Practitioners, AF Form 1562.
    Needs and Uses: The information collection requirement is necessary 
to evaluate each health care practitioner's formal education, training, 
clinical experience, and evidence of physical, moral, and ethical 
capacities with regard to the practitioner's competence to treat 
patients in Air Force medical treatment facilities.
    Affected Public: Civilian supervisors/peers of health care 
providers seeking privileges to practice health care in Air Force 
medical treatment facilities are asked to fill out this form to verify 
the provider has the necessary clinical experience to practice health 
care in the Air Force Medical Service.
    Annual Burden Hours: 296.5.
    Number of Respondents: 1,686.
    Responses Per Respondent: 1.
    Average Burden per Response: 15 Minutes.
    Frequency: On occasion.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

    Respondents are civilian supervisors/peers of health care providers 
requesting privileges to practice health care in Air Force medical 
treatment facilities. The completed form is used to assist in making a 
determination about the health care provider's formal education, 
training, clinical experience, and evidence of physical, moral, and 
ethical competence to treat Department of Defense (DoD) beneficiaries 
as patients in the Air Force Medical Service.

Janet A. Long,
Air Force Federal Register Liaison Officer.
[FR Doc. 01-3225 Filed 2-7-01; 8:45 am]
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