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Program Information Institutional Providers - Champus
PROGRAM INFORMATION INSTITUTIONAL PROVIDERS - CHAMPUS
OMB: 0704-0092
IC ID: 165202
OMB.report
DOD/DODDEP
OMB 0704-0092
ICR 198609-0704-010
IC 165202
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
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.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
OCHAMPUS
No
No
Form
FORM 200
No
No
Form
B, C, E, F
No
No
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,000
0
0
1,100
0
900
Annual IC Time Burden (Hours)
2,000
0
0
1,100
0
900
Annual IC Cost Burden (Dollars)
0
0
0
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.