OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Health Insurance Claim Form

OMB 0704-0110 ยท DOD/DODDEP.

OMB 0704-0110

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
HEALTH INSURANCE CLAIM FORM Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
198609-0704-011 No material or nonsubstantive change to a currently approved collection 1986-09-17 Approved with change
198605-0704-004 No material or nonsubstantive change to a currently approved collection 1986-05-01 Approved with change
198408-0704-001 Reinstatement with change of a previously approved collection 1984-08-08 Approved without change
198107-0704-013 No material or nonsubstantive change to a currently approved collection 1981-07-17 Approved with change
198006-0704-001 New collection (Request for a new OMB Control Number) 1980-06-05 Approved without change