View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0219	ICR Reference No: 198610-2900-012
Status: Historical Active	Previous ICR Reference No: 198407-2900-008
Agency/Subagency: VA	Agency Tracking No:
Title: APPLICATION FOR MEDICAL BENEFITS FOR DEPENDENTS OR 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: 10/01/1986
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/01/1986
	Date Received in OIRA: 10/01/1986
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1987	04/30/1987	04/30/1987
Responses	99,996	0	6,500
Time Burden (Hours)	8,333	0	542
Cost Burden (Dollars)	0	0	0

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