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Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans
Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) Veterans
OMB: 2900-0765
IC ID: 191043
OMB.report
VA
OMB 2900-0765
ICR 200910-2900-003
IC 191043
( )
Documents and Forms
Document Name
Document Type
Form VA Form 10-0478
Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans
Form and Instruction
VA Form 10-0478 Health Care Use Survey for Enduring Freedom and Operatio
VA Form 10-0478_Health-Care Use Survey (v4)[1].pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom 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
Form and Instruction
VA Form 10-0478
Health Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans
VA Form 10-0478_Health-Care Use Survey (v4)[1].pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
Veteran, Patient, Employee and Volunteer Research and Development Project Records - VA (34VA11)
FR Citation:
40 FR 38095
Number of Respondents:
1,410
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
1,410
0
1,410
0
0
0
Annual IC Time Burden (Hours)
1,058
0
1,058
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.