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Federal forms, ICRs, and supporting documents

Information Collection Request

National Health Survey of Persian Gulf Veterans and Their Family Members

ICR 199509-2900-002 · OMB 2900-0558 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
148414 National Health Survey of Persian Gulf Veterans and Their Family Members Form Migrated
ICR Details
2900-0558 199509-2900-002
Historical Active 199506-2900-001
VA
National Health Survey of Persian Gulf Veterans and Their Family Members
Revision of a currently approved collection   No
Regular
Approved without change 09/19/1995
Retrieve Notice of Action (NOA) 09/19/1995
OMB approves Phases I and II of this survey as revised pursuant to discussions on September 15, 1995 with the VA and OSTP. VA agreed to revise the survey to address concerns expressed in OSTP's memorandum to Sally Katzen dated September 13, 1995. Due to this delay in finalizing VA's national prevalence survey, OMB expects to meet with VA, DoD, and HHS to discuss its expecta- tions in early October rather than September 1995. All other aspects of OMB's 9/1/95 clearance remarks remain binding.
  Inventory as of this Action Requested Previously Approved
09/30/1998 09/30/1998 09/30/1998
1 0 0
22,500 0 22,500
0 0 0
This survey of Persian Gulf veterans is the result of the enactment of Public Law 103-446 (section 109). Mail interviews will be conducted with the study participants. Data will be validated using birth, medical, and military personnel records.
None
None
No
1
IC Title Form No. Form Name
National Health Survey of Persian Gulf Veterans and Their Family Members 10-20986(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 1 0 0 1 0 0
Annual Time Burden (Hours) 22,500 22,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
09/19/1995