Information Collection Request
Reserve Component Health Coverage Request
ICR 202405-0720-003 · OMB 0720-0081 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form DD Form 2896-1 Reserve Component Health Coverage Request |
Form | New | Repair queued |
 0720-RCHC_SSA_6.6.2024 .docx |
Supporting Statement A | Uploaded 2024-06-06 | Repair queued |
 0720-RCHC_SSNJ Memo_4.2.2024.pdf |
Supplementary Document | Uploaded 2024-06-06 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 267518 |  Reserve Component Health Coverage Request |
Form | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOD/DODOASHA |
| OMB Control No | 0720-0081 |
| Type of Information Collection | Existing collection in use without an OMB Control Number |
| Agency Tracking No | 0720-RCHC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |