DD3043-2, 'Tricare Select Enrollment, Disenrollment, and ...
DD FORM 3043-2, SEP 2021 CUI. when filled in. Page 1 of 4. TRICARE SELECT ENROLLMENT, DISENROLLMENT, AND CHANGE FORM. OMB No. 0720-0061 OMB approval expires: 20240930. The public reporting burden for this collection of information, 0720-0061, is estimated to average 15 minutes per response, including the time for reviewing
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