View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0720-0044	ICR Reference No: 201311-0720-001
Status: Historical Active	Previous ICR Reference No: 201011-0720-001
Agency/Subagency: DOW/DODOASHA	Agency Tracking No:
Title: Certification of Non-Contributory TRICARE Supplement Insurance
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: 02/14/2014
	Date Received in OIRA: 11/27/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved	02/28/2014
Responses	1,500	0	1,500
Time Burden (Hours)	250	0	250
Cost Burden (Dollars)	8,750	0	0

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