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Champus/champva Claim Form (formerly Champus/champva Form 500)
OMB 0704-0084
OMB.report
DOD/DODDEP
OMB 0704-0084
OMB 0704-0084
Latest Forms, Documents, and Supporting Material
Document
Name
CHAMPUS/CHAMPVA CLAIM FORM (FORMERLY CHAMPUS/CHAMPVA FORM 500)
Form
All Historical Document Collections
199009-0704-002
Approved without change
Revision of a currently approved collection
1990-09-12
198903-0704-008
Approved with change
No material or nonsubstantive change to a currently approved collection
1989-03-31
198801-0704-001
Approved without change
Revision of a currently approved collection
1988-01-21
198609-0704-008
Approved with change
No material or nonsubstantive change to a currently approved collection
1986-09-09
198605-0704-003
Approved with change
No material or nonsubstantive change to a currently approved collection
1986-05-01
198509-0704-004
Approved with change
No material or nonsubstantive change to a currently approved collection
1985-09-30
198501-0704-002
Approved without change
Revision of a currently approved collection
1985-01-30
198201-0704-007
Approved without change
Revision of a currently approved collection
1982-01-28
198108-0704-002
Approved without change
Reinstatement without change of a previously approved collection
1981-08-26
198010-0704-001
Disapproved
Reinstatement without change of a previously approved collection
1980-10-06
197805-0704-003
Approved without change
New collection (Request for a new OMB Control Number)
1978-05-24
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