Information Collection

Program Information Institutional Providers - Champus

IC 165201 under ICR 198509-0704-007 · OMB 0704-0092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0092 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	PROGRAM INFORMATION INSTITUTIONAL PROVIDERS - CHAMPUS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	OCHAMPUS	No	No
Form	FORM 200	No	No
Form	B, C, E, F	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	900	-990	1,890
Annual IC Time Burden (Hours)	900	-990	1,890
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.