View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0219	ICR Reference No: 198011-2900-064
Status: Historical Active	Previous ICR Reference No: 197904-2900-002
Agency/Subagency: VA	Agency Tracking No:
Title: VETERANS ADMINISTRATION - APPLICATION FOR MEDICAL BENEFITS FOR DEPENDENTS AND SURVIVORS - CHAMPVA
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 11/14/1980
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/14/1980
	Date Received in OIRA: 11/14/1980
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1984	04/30/1984	04/30/1984
Responses	30,000	0	15,000
Time Burden (Hours)	7,500	0	3,750
Cost Burden (Dollars)	0	0	0

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