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View ICR - OIRA Conclusion

OMB Control No: 2900-0219	ICR Reference No: 198407-2900-008
Status: Historical Active	Previous ICR Reference No: 198210-2900-028
Agency/Subagency: VA	Agency Tracking No:
Title: APPLICATION FOR MEDICAL BENEFITS FOR DEPENDENTS OR SURVIVORS - CHAMPVA
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/25/1984
	Date Received in OIRA: 07/30/1984
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1987	04/30/1987
Responses	6,500	0	0
Time Burden (Hours)	542	0	0
Cost Burden (Dollars)	0	0	0

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