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2900-0219 200011-2900-005
Historical Active 199508-2900-005
VA
CHAMPVA Benefits - Application, Claim, OHI, Potential Liability & Spina Bifida
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/14/2001
11/30/2000
Approved consistent with clarification in VA memo of 3-6-01.
  Inventory as of this Action Requested Previously Approved
03/31/2004 03/31/2004
405,000 0 0
64,600 0 0
0 0 0