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View ICR - OIRA Conclusion

OMB Control No: 2900-0219	ICR Reference No: 199308-2900-007
Status: Historical Active	Previous ICR Reference No: 198811-2900-003
Agency/Subagency: VA	Agency Tracking No:
Title: CHAMPVA CLAIM FORM AND APPLICATION FOR MEDICAL BENEFITS FOR DEPENDENTS OR SURVIVORS
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: 09/24/1993
	Date Received in OIRA: 08/12/1993
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1996	06/30/1996
Responses	329,600	0	0
Time Burden (Hours)	27,467	0	0
Cost Burden (Dollars)	0	0	0

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