View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0704-0364	ICR Reference No: 200905-0704-006
Status: Historical Active	Previous ICR Reference No: 200509-0704-003
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Continued Health Care Benefit Program (CHCBP) Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/19/2009
	Date Received in OIRA: 05/31/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2012	36 Months From Approved	08/31/2009
Responses	2,500	0	808
Time Burden (Hours)	625	0	202
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	2,500	808	1,692
Annual Time Burden (Hours)	625	202	423
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Increase in respondents.

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