View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0219	ICR Reference No: 197705-2900-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: APPLICATION FOR MEDICAL BENEFITS FOR DEPENDENTS OR SURVIVORS
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/11/1977
	Date Received in OIRA: 05/09/1977
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1982	05/31/1982
Responses	25,000	0	0
Time Burden (Hours)	8,333	0	0
Cost Burden (Dollars)	0	0	0

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