OMB control number
Pilot Test Of Champus Prepaid Health Benefit Demonstration - Employer Health Benefit Form
OMB 0704-0165 ยท DOD/DODDEP.
OMB 0704-0165
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 PILOT TEST OF CHAMPUS PREPAID HEALTH BENEFIT DEMONSTRATION - EMPLOYER HEALTH BENEFIT FORM |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198211-0704-003 | Extension without change of a currently approved collection | 1982-11-09 | Approved without change | |
| 198204-0704-006 | New collection (Request for a new OMB Control Number) | 1982-04-14 | Approved without change |