View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0730-0011	ICR Reference No: 201001-0730-001
Status: Historical Active	Previous ICR Reference No: 200608-0730-001
Agency/Subagency: DOW/DFAS	Agency Tracking No:
Title: Physician Certificate for Child Annuitant
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 with change	Conclusion Date: 03/26/2010
	Date Received in OIRA: 01/31/2010
Terms of Clearance: This collection is cleared based on the revised materials provided by the Department.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	36 Months From Approved	03/31/2010
Responses	120	0	120
Time Burden (Hours)	240	0	240
Cost Burden (Dollars)	0	0	0

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