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Assessment Of Health Care Needs Of Veterans In The Commonwealth Of Puerto Rico And In The Virgin Islands
ASSESSMENT OF HEALTH CARE NEEDS OF VETERANS IN THE COMMONWEALTH OF PUERTO RICO AND IN THE VIRGIN ISLANDS
OMB: 2900-0295
IC ID: 174637
OMB.report
VA
OMB 2900-0295
ICR 197912-2900-006
IC 174637
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ASSESSMENT OF HEALTH CARE NEEDS OF VETERANS IN THE COMMONWEALTH OF PUERTO RICO AND IN THE VIRGIN ISLANDS
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
10-20696
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,550
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
2,550
0
0
0
0
2,550
Annual IC Time Burden (Hours)
1,300
0
0
0
0
1,300
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.