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2900-0219 200107-2900-018
Historical Active 200011-2900-005
VA
CHAMPVA Benefits - Application, Claim, OHI, Potential Liability and Spina Bifida Benefits
Revision of a currently approved collection   No
Regular
Approved without change 07/26/2001
07/25/2001
Approved through March 2004 per VA changes with 2900-0578.
  Inventory as of this Action Requested Previously Approved
03/31/2004 03/31/2004 03/31/2004
381,000 0 405,000
63,000 0 64,600
0 0 0