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CHAMPUS Chiropractic Care Demonstration Beneficiary Survey

IC 109130 under ICR 199105-0704-002 · OMB 0704-0326.

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Information Collection (IC) Details

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CHAMPUS Chiropractic Care Demonstration Beneficiary Survey
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CCCD FORM No No
Form 2, 3 & 4 No No
Form LETTERS 1, No No


    

381 0
   
Individuals or Households
 
   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 381 0 381 0 0 0
Annual IC Time Burden (Hours) 95 0 95 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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