CHAMPVA Clinical Review

CHAMPVA Benefits - Application, Claim, Other Health Insurance, Potential Liability & Misc Expenses

OMB: 2900-0219

IC ID: 246422

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CHAMPVA Clinical Review 2900-0219
 
No New
 
Required to Obtain or Retain Benefits
 
38 CFR 1.900 38 CFR 17.900 through 17.905

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

Health Health Care Services

 

2,332 0
   
Individuals or Households
 
   0 %

  Requested 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 2,332 0 2,332 0 0 0
Annual IC Time Burden (Hours) 777 0 777 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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