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Application for Voluntary Service
Application for Voluntary Service
OMB: 2900-0090
IC ID: 28247
OMB.report
VA
OMB 2900-0090
ICR 201503-2900-001
IC 28247
( )
Documents and Forms
Document Name
Document Type
Form VA Form 10-7055
Application for Voluntary Service
Form
VA Form 10-7055 Application for Voluntary Service
VHA-10-7055-fill.pdf
www.va.gov/vaforms/
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Voluntary Service
Agency IC Tracking Number:
2900-0090
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 10-7055
Application for Voluntary Service
VHA-10-7055-fill.pdf
http://www.va.gov/vaforms/
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Personnel
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
32,000
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
32,000
0
0
0
0
32,000
Annual IC Time Burden (Hours)
8,000
0
0
0
0
8,000
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.