Certification of Non-Contributory TRICARE Supplement Insurance

Certification of Non-Contributory TRICARE Supplement Insurance

OMB: 0720-0044

IC ID: 191500

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Certification of Non-Contributory TRICARE Supplement Insurance
 
No New
 
Required to Obtain or Retain Benefits
 
32 CFR 199

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

Defense and National Security Operational Defense

 

1,500 0
   
Private Sector Businesses or other for-profits
 
   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 1,500 1,500 0 0 0 0
Annual IC Time Burden (Hours) 250 250 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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