PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
STATEMENT OF PERSONAL INJURY - POSSIBLE THIRD PARTY LIABILITY - CHAMPUS/CHAMPVA
Migrated
30000
17000
0
Form
(DRAFT)
Form
DD X379
Total burden requested under this ICR:
30000
17000
0
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