View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0720-0044	ICR Reference No: 201011-0720-001
Status: Historical Active	Previous ICR Reference No: 200912-0720-001
Agency/Subagency: DOW/DODOASHA	Agency Tracking No:
Title: Certification of Non-Contributory TRICARE Supplement Insurance
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/08/2010
	Date Received in OIRA: 11/08/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2013	36 Months From Approved
Responses	1,500	0	0
Time Burden (Hours)	250	0	0
Cost Burden (Dollars)	0	0	0

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