Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
TRICARE Plus Enrollment Application TRICARE Plus Disenrollment Request Modified 3305 386 2776 Form DD2853 TRICARE Plus Enrollment Application
Form DD2854 TRICARE Plus Disenrollment Request
Total burden requested under this ICR: 3305 386 2776  
To view an IC, click on IC Title