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View ICR - OIRA Conclusion

OMB Control No: 2900-0219	ICR Reference No: 198704-2900-012
Status: Historical Active	Previous ICR Reference No: 198610-2900-012
Agency/Subagency: VA	Agency Tracking No:
Title: APPLICATION FOR MEDICAL BENEFITS FOR DEPENDENTS OR 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: 06/10/1987
	Date Received in OIRA: 04/08/1987
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1990	04/30/1990	04/30/1987
Responses	9,600	0	99,996
Time Burden (Hours)	787	0	8,333
Cost Burden (Dollars)	0	0	0

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