OMB control number

TRICARE Dental Program (TDP) Claim Form

OMB 0720-0035 ยท DOD/DODOASHA.

OMB 0720-0035

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form TRICARE Dental Program (TDP) Claim FormForm
Supporting Statement - PART A.pdfSupporting Statement A
TRICARE Dental Program (TDP) Claim Form Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200911-0720-003 Reinstatement without change of a previously approved collection 2009-11-13 Approved without change
200511-0720-001 Extension without change of a currently approved collection 2005-11-22 Approved with change
200509-0720-001 New collection (Request for a new OMB Control Number) 2005-09-16 Approved without change