OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for TRICARE-Provider Status: Corporate Services Provider

OMB 0720-0020 · DOD/DODOASHA.

OMB 0720-0020

The information collection requirement is necessary to ensure that applicants for TRICARE-Provider Status meet the conditions for authorization as a TRICARE Corporate Services Provider. The collected information will be used by TRICARE contractors to process claims and verify authorization status.

The latest form for Application for TRICARE-Provider Status: Corporate Services Provider expires 2029-01-31 and is listed under ICR 202511-0720-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form DD Form 3030 Corporate Services Provider Application for TRICARE Provider StatusForm
Form DD Form 3030 Application for TRICARE-Provider Status: CORPORATE SERVICES PROVIDERForm
0720-0020_SSA_11.26.2025.docxSupporting Statement A
0720-0020_SSA_11.26.2025.docxSupporting Statement A
Application for TRICARE-Provider Status: CORPORATE SERVICES PROVIDER Form
Application for TRICARE-Provider Status: CORPORATE SERVICES PROVIDER Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202511-0720-002 Extension without change of a currently approved collection 2025-11-26
202208-0720-001 Revision of a currently approved collection 2022-10-27 Approved without change
201908-0720-003 Revision of a currently approved collection 2019-08-29 Approved without change
201604-0720-001 Reinstatement with change of a previously approved collection 2016-04-07 Approved without change
201207-0720-005 Reinstatement without change of a previously approved collection 2012-07-05 Improperly submitted
201001-0720-003 Extension without change of a currently approved collection 2010-01-31 Disapproved and continue
200609-0720-001 Reinstatement without change of a previously approved collection 2006-09-29 Approved without change
200306-0720-001 Reinstatement without change of a previously approved collection 2003-06-26 Approved without change
199902-0720-001 New collection (Request for a new OMB Control Number) 1999-02-23 Approved without change