TRICARE Dental Program (TDP) Claim Form

OMB 0720-0035

Latest Forms, Documents, and Supporting Material

Document Name
Form Form TRICARE Dental Program (TDP) Claim Form Form
Supporting Statement - PART A.pdf Supporting Statement A
TRICARE Dental Program (TDP) Claim Form Form

All Historical Document Collections

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