View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0219	ICR Reference No: 197904-2900-002
Status: Historical Active	Previous ICR Reference No: 197705-2900-010
Agency/Subagency: VA	Agency Tracking No:
Title: VETERANS ADMINISTRATION - APPLICATION FOR MEDICAL BENEFITS FOR DEPENDENTS AND SURVIVORS - CHAMPVA
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: 07/11/1979
	Date Received in OIRA: 04/27/1979
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1984	04/30/1984	05/31/1982
Responses	15,000	0	25,000
Time Burden (Hours)	3,750	0	8,333
Cost Burden (Dollars)	0	0	0

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