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: 201703-0730-001
Status: Historical Active	Previous ICR Reference No: 201306-0730-001
Agency/Subagency: DOD/DFAS	Agency Tracking No:
Title: Physician Certificate for Child Annuitant
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/30/2017
	Date Received in OIRA: 04/03/2017
Terms of Clearance: This collection should be reported in the Information Collection Budget.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	36 Months From Approved
Responses	240	0	0
Time Burden (Hours)	240	0	0
Cost Burden (Dollars)	11,670	0	0

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