Report of Treatment by Attending Physician (FL29-551A)

Documents and Forms

Document Name Document Type
Form FL29-551A Report of Treatment by Attending Physician (FL29-551A) Form
FL29-551A Report of Treatment by Attending Physician FL29-551a.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Report of Treatment by Attending Physician (FL29-551A)	Agency IC Tracking Number:	2900-0120 VBA-INS-DB

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	FL29-551A	Report of Treatment by Attending Physician	FL29-551a.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,277	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20,277	20,277
Annual IC Time Burden (Hours)	5,069	5,069
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.