OMB control number
TRICARE Retiree Dental Program Enrollment Application
OMB 0720-0015 · DOD/DODOASHA.
OMB 0720-0015
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Delta Dental Form TRICARE Retiree Dental Program Enrollment Appication | Form |
 OMB Supporting Statement 0720-0015 PASSBACK SEP13_edits_gm17Nov2016-CLEAN.doc | Supporting Statement A |
| 0720-0015 SSN MFR signed_151028(2).PDF | Supplementary Document |
 TRICARE Retiree Dental Program Enrollment Appication |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201604-0720-004 | Reinstatement with change of a previously approved collection | 2016-04-29 | Approved with change | |
| 201207-0720-003 | Reinstatement with change of a previously approved collection | 2012-07-05 | Approved with change | |
| 200708-0720-003 | Extension without change of a currently approved collection | 2007-08-31 | Approved without change | |
| 200403-0720-001 | Reinstatement with change of a previously approved collection | 2004-03-10 | Approved with change | |
| 200010-0720-001 | Revision of a currently approved collection | 2000-10-27 | Approved without change | |
| 199712-0720-001 | Extension without change of a currently approved collection | 1997-12-15 | Approved without change | |
| 199706-0720-002 | New collection (Request for a new OMB Control Number) | 1997-06-24 | Approved without change |