TRICARE Young Adult Application

TRICARE Young Adult Application

OMB: 0720-0049

IC ID: 197033

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

TRICARE Young Adult Application
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Beneficiary Web Enrollment Welcome Screen.pdf https://www.dmdc.osd.mil/appj/bwe/indexAction.do;jsessionid=Qx3x63ey1jUwW94oZ3ZekwRumxOExFu5eGtCsnspVb0ETeO2dq4b!-138697852 Yes Yes Fillable Fileable Signable
Form and Instruction DD-2947-1 TRICARE Young Adult Application dd2947-1 draft 20180927 locked.pdf Yes Yes Fillable Fileable Signable
Form and Instruction DD-2947-2 TRICARE Young Adult Application dd2947-2 draft 20180927 locked.pdf Yes Yes Fillable Fileable Signable
Form and Instruction DD-2947-3 TRICARE Young Adult Application dd2947-3 draft 20180927 locked.pdf Yes Yes Fillable Fileable Signable

Defense and National Security Operational Defense

 

2,709 0
   
Individuals or Households
 
   21 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,709 0 0 0 0 2,709
Annual IC Time Burden (Hours) 677 0 0 0 0 677
Annual IC Cost Burden (Dollars) 4,903 0 0 0 0 4,903

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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