Continued Health Care Benefit Program (CHCBP) Application

Continued Health Care Benefit Program (CHCBP) Application

OMB: 0704-0364

IC ID: 5414

Information Collection (IC) Details

View Information Collection (IC)

Continued Health Care Benefit Program (CHCBP) Application
 
No Modified
 
Required to Obtain or Retain Benefits
 
32 CFR 199.20

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DD From 2837 Continued Health Care Benefit Program (CHCBP) Application dd2837.pdf Yes No Fillable Printable

Defense and National Security Operational Defense

 

2,500 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 2,500 0 0 1,692 0 808
Annual IC Time Burden (Hours) 625 0 0 423 0 202
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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