Information Collection

TRICARE Young Adult Application

IC 197033 under ICR 202410-0720-001 · OMB 0720-0049.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD2947-1 TRICARE Young Adult Application TRICARE Young Adult Application	Form and Instruction
Form DD2497-2 TRICARE Young Adult Application TRICARE Young Adult Application	Form and Instruction
Form DD2947-3 TRICARE Young Adult Application TRICARE Young Adult Application	Form and Instruction
Beneficiary Web Enrollment Welcome Screen.pdf www.dmdc.osd.mil/appj/bwe/indexAction.do;jsessionid=Qx3x63ey1jUwW94oZ3ZekwRumxOExFu5eGtCsnspVb0ETeO2dq4b!-138697852	Instruction
Beneficiary Web Enrollment_Tricare Young Adult.pdf	Other-Screenshots
DD2947-1 TRICARE Young Adult Application dd2947-1 Unlocked - PAS edits.pdf	Form and Instruction
DD2947-1 TRICARE Young Adult Application dd2947-1.pdf	Form and Instruction
DD2497-2 TRICARE Young Adult Application dd2947-2 Unlocked - PAS edits.pdf	Form and Instruction
DD2497-2 TRICARE Young Adult Application dd2947-2.pdf	Form and Instruction
DD2947-3 TRICARE Young Adult Application dd2947-3 Unlocked - PAS edits.pdf	Form and Instruction
DD2947-3 TRICARE Young Adult Application dd2947-3.pdf	Form and Instruction
Beneficiary Web Enrollment Welcome Screen.pdf Beneficary Web Enrollment Welcome Screen	IC Document

IC Title:

Agency IC Tracking Number:

0720-0049

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots		Yes	Yes	Fillable Fileable
Form and Instruction	DD2947-1	Yes	Yes	Fillable Fileable
Form and Instruction	DD2497-2	Yes	Yes	Fillable Fileable
Form and Instruction	DD2947-3	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: TRICARE YOUNG ADULT APPLICATION

FR Citation: 89 FR 63422

Number of Respondents: 7,164

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 82 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,164	4,455	2,709
Annual IC Time Burden (Hours)	1,791	1,114	677
Annual IC Cost Burden (Dollars)	12,967	8,064	4,903

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Beneficary Web Enrollment Welcome Screen		04/11/2025

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

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