TRICARE Young Adult Application

TRICARE Young Adult Application

OMB: 0720-0049

IC ID: 197033

Documents and Forms
Document Name
Document Type
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

TRICARE Young Adult Application 0720-0049
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Beneficiary Web Enrollment Welcome Screen.pdf https://www.dmdc.osd.mil/appj/bwe/indexAction.do;jsessionid=Qx3x63ey1jUwW94oZ3ZekwRumxOExFu5eGtCsnspVb0ETeO2dq4b!-138697852 Yes Yes Fillable Fileable Signable
Form and Instruction DD2947-1 TRICARE Young Adult Application dd2947-1 Unlocked - PAS edits.pdf Yes Yes Fillable Fileable
Form and Instruction DD2497-2 TRICARE Young Adult Application dd2947-2 Unlocked - PAS edits.pdf Yes Yes Fillable Fileable
Form and Instruction DD2947-3 TRICARE Young Adult Application dd2947-3 Unlocked - PAS edits.pdf Yes Yes Fillable Fileable

Defense and National Security Operational Defense

TRICARE YOUNG ADULT APPLICATION  89 FR 63422

7,164 0
   
Individuals or Households
 
   82 %

  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 7,164 0 4,455 0 0 2,709
Annual IC Time Burden (Hours) 1,791 0 1,114 0 0 677
Annual IC Cost Burden (Dollars) 12,967 0 8,064 0 0 4,903

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