OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION OF SERVICE REPRESENTATIVE FOR PLACEMENT ON VETERANS ADMINISTRATION MAILING LIST

ICR 198604-2900-005 · OMB 2900-0028 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
146608 APPLICATION OF SERVICE REPRESENTATIVE FOR PLACEMENT ON VETERANS ADMINISTRATION MAILING LIST Form Migrated
ICR Details
2900-0028 198604-2900-005
Historical Active 198303-2900-003
VA
APPLICATION OF SERVICE REPRESENTATIVE FOR PLACEMENT ON VETERANS ADMINISTRATION MAILING LIST
Extension without change of a currently approved collection   No
Regular
Approved without change 06/20/1986
Retrieve Notice of Action (NOA) 04/18/1986
  Inventory as of this Action Requested Previously Approved
06/30/1989 06/30/1989 04/30/1986
150 0 150
25 0 25
0 0 0
USED BY SERVICE ORGANIZATIONS FOR PLACING THEIR REPRESENTATIVES ON THE VA MAILING LIST TO RECEIVE PUBLICATIONS.
None
None
No
1
IC Title Form No. Form Name
APPLICATION OF SERVICE REPRESENTATIVE FOR PLACEMENT ON VETERANS ADMINISTRATION MAILING LIST VA 70-3215
  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 150 150 0 0 0 0
Annual Time Burden (Hours) 25 25 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$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.
04/18/1986