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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
TRICARE Young Adult Application
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
Instruction
Beneficiary Web Enrollment Welcome Screen.pdf
https://www.dmdc.osd.mil/appj/bwe/indexAction.do;jsessionid=Qx3x63ey1jUwW94oZ3ZekwRumxOExFu5eGtCsnspVb0ETeO2dq4b!-138697852
Yes
Yes
Fillable Fileable Signable
Form and Instruction
DD-2947-1
TRICARE Young Adult Application
dd2947-1 draft 20180927 locked.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
DD-2947-2
TRICARE Young Adult Application
dd2947-2 draft 20180927 locked.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
DD-2947-3
TRICARE Young Adult Application
dd2947-3 draft 20180927 locked.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:
2,709
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
21 %
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
2,709
0
-32,000
2,709
0
32,000
Annual IC Time Burden (Hours)
677
0
-8,000
677
0
8,000
Annual IC Cost Burden (Dollars)
4,903
0
0
4,903
0
0
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.