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Federal forms, ICRs, and supporting documents

Information Collection Request

Study of Reproductive Health Outcomes Among Women Vietname Veterans

ICR 199508-2900-018 · OMB 2900-0529 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
148381 Study of Reproductive Health Outcomes Among Women Vietname Veterans Form Migrated
ICR Details
2900-0529 199508-2900-018
Historical Active 199407-2900-005
VA
Study of Reproductive Health Outcomes Among Women Vietname Veterans
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 09/28/1995
Retrieve Notice of Action (NOA) 08/23/1995
Approved for use through 9/98 under the condition that no later than 10/95, for the public record VA explains its delay beyond 7/94 in fielding this entire research effort and submits to OMB revised survey schedule.
  Inventory as of this Action Requested Previously Approved
09/30/1998 09/30/1998
6,800 0 0
5,667 0 0
0 0 0
This study of reproductive outcomes of women who served in Vietnam is the result of the enactment of Public Law 99-272 (Section 19031). Interviews will be conducted with study participants. Data will be validated using death, birth, medical and military personnel records.
None
None
No
1
IC Title Form No. Form Name
Study of Reproductive Health Outcomes Among Women Vietname Veterans 10-20992(NR)
  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 6,800 0 0 6,800 0 0
Annual Time Burden (Hours) 5,667 0 0 5,667 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
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.
08/23/1995