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Information Collection

Annual Health Care Survey For Dod Beneficiaries

IC 37575 under ICR 199605-0704-002 · OMB 0704-0362.

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ANNUAL HEALTH CARE SURVEY FOR DOD BENEFICIARIES
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability


    

41,000 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 41,000 0 0 0 0 41,000
Annual IC Time Burden (Hours) 20,500 0 0 0 0 20,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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