Health Surveillance For A New Generation Of U.s. Veterans

Health Surveillance for a New Generation of U.S. Veterans

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0722 can be found here:

Documents and Forms

Document Name Document Type
Questionnaire.doc To be determine Other-Survey

Information Collection (IC) Details

IC Title:	HEALTH SURVEILLANCE FOR A NEW GENERATION OF U.S. VETERANS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-Survey			Questionnaire.doc	To be determine	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 38,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	38,300	38,300
Annual IC Time Burden (Hours)	24,858	24,858
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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