TRICARE Young Adult Application

TRICARE Young Adult Application

OMB: 0720-0049

IC ID: 197033

Information Collection (IC) Details

View Information Collection (IC)

TRICARE Young Adult Application
 
No Modified
 
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
Form and Instruction DD 2947 TRICARE YOUNG ADULT APPLICATION dd2947.PDF Yes No Fillable Fileable

Defense and National Security Operational Defense

 

16,000 0
   
Individuals or Households
 
   75 %

  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 32,000 0 0 0 32,000 0
Annual IC Time Burden (Hours) 8,000 0 0 0 8,000 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSN Justification A - MFR SSN Justification-TRICARE Young Adult.pdf 03/22/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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