OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Champus/champva Claim Form (formerly Champus/champva Form 500)

OMB 0704-0084 ยท DOD/DODDEP.

OMB 0704-0084

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
CHAMPUS/CHAMPVA CLAIM FORM (FORMERLY CHAMPUS/CHAMPVA FORM 500) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
199009-0704-002 Revision of a currently approved collection 1990-09-12 Approved without change
198903-0704-008 No material or nonsubstantive change to a currently approved collection 1989-03-31 Approved with change
198801-0704-001 Revision of a currently approved collection 1988-01-21 Approved without change
198609-0704-008 No material or nonsubstantive change to a currently approved collection 1986-09-09 Approved with change
198605-0704-003 No material or nonsubstantive change to a currently approved collection 1986-05-01 Approved with change
198509-0704-004 No material or nonsubstantive change to a currently approved collection 1985-09-30 Approved with change
198501-0704-002 Revision of a currently approved collection 1985-01-30 Approved without change
198201-0704-007 Revision of a currently approved collection 1982-01-28 Approved without change
198108-0704-002 Reinstatement without change of a previously approved collection 1981-08-26 Approved without change
198010-0704-001 Reinstatement without change of a previously approved collection 1980-10-06 Disapproved
197805-0704-003 New collection (Request for a new OMB Control Number) 1978-05-24 Approved without change