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
TRICARE Prime Enrollment, Disenrollment, and Primary Care Manager (PCM) Change Form
Modified
1907682
476921
3457674
Form and Instruction
DD2876-1
TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
Form and Instruction
DD276-2
TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
Form and Instruction
DD2876-3
TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
TRICARE Prime Enrollment, Disenrollment, and Primary Care Manager (PCM) Change- web portal
Modified
226250
56563
410078
Other-Online Submission
Total burden requested under this ICR:
2133932
533484
3867752
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The .gov means it's official.
The site is secure.
