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388 Dept of Labor EBSA Q's FINAL 389 Tricare survey Outpatient 390 Tricare survey Inpatient

IC 195573 under ICR 200908-1090-001 · OMB 1090-0007.

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Form
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Information Collection (IC) Details

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388 Dept of Labor EBSA Q's FINAL 389 Tricare survey Outpatient 390 Tricare survey Inpatient 388-390
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 388 Dept of Labor EBSA Questionnaire FINAL 388 Dept of Labor EBSA Questionnaire FINAL 2010 388 Dept of Labor EBSA Questionnaire FINAL.docx No   Paper Only
Form 389 Tricare survey Outpatient 389 Tricare survey Outpatient 2010 389 Tricare survey Outpatient.doc No   Paper Only
Form 390 Tricare survey Inpatient 390 Tricare survey Inpatient 2010 390 Tricare survey Inpatient.doc No   Paper Only

General Government Central Records & Statistical Mgt

 

750 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 750 0 750 0 0 0
Annual IC Time Burden (Hours) 125 0 125 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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