# Submission for OMB Review; Comment Request
**AGENCY:**
Office of the Assistant Secretary of Defense for Health Affairs (OASD(HA)), Department of Defense (DoD).
**ACTION:**
30-Day information collection notice.
**SUMMARY:**
The DoD has submitted to the Office of Management and Budget (OMB) for clearance the following proposal for collection of information under the provisions of the Paperwork Reduction Act.
**DATES:**
Consideration will be given to all comments received by October 23, 2025.
**ADDRESSES:**
Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to *www.reginfo.gov/public/do/PRAMain.* Find this particular information collection by selecting “Currently under 30-day Review—Open for Public Comments” or by using the search function.
**FOR FURTHER INFORMATION CONTACT:**
Reginald Lucas, (571) 372-7574, *[email protected].*
**SUPPLEMENTARY INFORMATION:**
*Title; Associated Form; and OMB Number:* Professional Qualifications Medical/Peer Reviewers, DHA Form 780; OMB Control Number 0720-0005.
*Type of Request:* Reinstatement.
*Number of Respondents:* 60.
*Responses per Respondent:* 1.
*Annual Responses:* 60.
*Average Burden per Response:* 20 minutes.
*Annual Burden Hours:* 20.
*Needs and Uses:* The information collection requirement is necessary to obtain and record the professional qualifications of medical and peer reviewers utilized within TRICARE. The form is included as an exhibit in an appeal or hearing case file as evidence of the reviewer's professional qualifications to review the medical documentation contained in the case file.
*Affected Public:* Business or other for profit.
*Frequency:* As required.
*Respondent's Obligation:* Voluntary.
*DOD Clearance Officer:* Mr. Reginald Lucas.
Dated: September 19, 2025.
Stephanie J. Bost,
Alternate OSD Federal Register Liaison Officer, Department of Defense.