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National Health Study For A New Generation Of U.s. Veterans
National Health Study for a New Generation of U.S. Veterans
OMB: 2900-0722
IC ID: 183932
OMB.report
VA
OMB 2900-0722
ICR 201110-2900-003
IC 183932
( )
Documents and Forms
Document Name
Document Type
Form VA Form 10-0523
NATIONAL HEALTH STUDY FOR A NEW GENERATION OF U.S. VETERANS
Form
VA Form 10-0523 National Health Study for a New Generation of U.S. Veter
Nat Health Study NGV Form 281809-2vb final.pdf
Paper / Telephone / Online_(URL to be determined)
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NATIONAL HEALTH STUDY FOR A NEW GENERATION OF U.S. VETERANS
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
VA Form 10-0523
National Health Study for a New Generation of U.S. Veterans
Nat Health Study NGV Form 281809-2vb final.pdf
Paper / Telephone / Online_(URL to be determined)
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
24,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
30 %
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
24,000
0
0
-14,300
0
38,300
Annual IC Time Burden (Hours)
15,467
0
0
-9,391
0
24,858
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.