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Federal forms, ICRs, and supporting documents

Information Collection Request

REQUEST FOR INFORMATION RE APPLICANTS FOR DIETETIC INTERNSHIP

ICR 198407-2900-007 · OMB 2900-0125 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147192 REQUEST FOR INFORMATION RE APPLICANTS FOR DIETETIC INTERNSHIP Form Migrated
ICR Details
2900-0125 198407-2900-007
Historical Active 198310-2900-006
VA
REQUEST FOR INFORMATION RE APPLICANTS FOR DIETETIC INTERNSHIP
Revision of a currently approved collection   No
Regular
Approved without change 09/12/1984
Retrieve Notice of Action (NOA) 07/19/1984
  Inventory as of this Action Requested Previously Approved
08/31/1987 08/31/1987 07/31/1984
1,860 0 2,000
465 0 500
0 0 0
THIS FORM (FL 10-282) PROVIDES AN OBJECTIVE EVALUATION OF APPLICANTS TO ELEVEN ACCREDITED VA DIETETIC INTERNSHIPS. THE USE OF THIS FORM ENABLES VA DIETETIC INTERNSHIP SELECTION COMMITTEES TO OBTAIN A NUMERIC RATING FROM THREE REFERENCES GIVEN BY EACH APPLICANT.
None
None
No
1
IC Title Form No. Form Name
REQUEST FOR INFORMATION RE APPLICANTS FOR DIETETIC INTERNSHIP FL 10-282
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,860 2,000 0 -140 0 0
Annual Time Burden (Hours) 465 500 0 -35 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/19/1984