DHA Form 298 Prescription Drop Off/Activation Form

Prescription Drop Off/Activation Form

OMB: 0720-0074

IC ID: 262184

Information Collection (IC) Details

View Information Collection (IC)

DHA Form 298 Prescription Drop Off/Activation Form 0720-PDOA
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DHA Form 298 DHA Form 298 Prescription Drop Off/Activation Form DHA 298_9.8.2023.pdf Yes Yes Fillable Printable

Defense and National Security Operational Defense

 

100,000 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 100,000 0 100,000 0 0 0
Annual IC Time Burden (Hours) 5,000 0 5,000 0 0 0
Annual IC Cost Burden (Dollars) 168,800 0 168,800 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy