Information Collection

TRICARE Retiree Dental Program Enrollment Form

IC 5584 under ICR 199712-0720-001 · OMB 0720-0015.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	TRICARE Retiree Dental Program Enrollment Form	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 286,570	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	286,570	286,570
Annual IC Time Burden (Hours)	71,640	71,640
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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