OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Provision of Health Care to Vietnam Veterans' Children with Spina Bifida

ICR 200104-2900-005 · OMB 2900-0578 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28789 Provision of Health Care to Vietnam Veterans' Children with Spina Bifida Migrated
ICR Details
2900-0578 200104-2900-005
Historical Inactive 199709-2900-002
VA
Provision of Health Care to Vietnam Veterans' Children with Spina Bifida
Reinstatement without change of a previously approved collection   No
Regular
Withdrawn 07/12/2001
Retrieve Notice of Action (NOA) 04/23/2001
  Inventory as of this Action Requested Previously Approved
0 0 0
0 0 0
0 0 0
Used to determine eligibility to receive, correct amount to pay and to process provider claims for services rendered to children of Vietnam veterans who have Spina Bifida.
None
None
No
1
IC Title Form No. Form Name
Provision of Health Care to Vietnam Veterans' Children with Spina Bifida
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.
04/23/2001