Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Statement of Personal Injury - Possible Third Party Liability Champus Modified 133000 33250 54530 Form DD Form 2527 Statement of Personal Injury - Possible Third Party Liability TRICARE Management Activity
Total burden requested under this ICR: 133000 33250 54530  
To view an IC, click on IC Title