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Federal forms, ICRs, and supporting documents

Information Collection Request

4th Phase Supplement, "Measurement/Validation of Psychosocial Risk & Resilience Factors Accounting for Physical/Mental Health & Health Related Quality of Life Among Veterans"

ICR 200209-2900-010 · OMB 2900-0614 · Historical Active

Forms and Documents
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IC IDCollectionTypeStatusForm
42229 4th Phase Supplement, "Measurement/Validation of Psychosocial Risk & Resilience Factors Accounting for Physical/Mental Health & Health Related Quality of Life Among Veterans" Form Migrated
ICR Details
2900-0614 200209-2900-010
Historical Active 200203-2900-005
VA
4th Phase Supplement, "Measurement/Validation of Psychosocial Risk & Resilience Factors Accounting for Physical/Mental Health & Health Related Quality of Life Among Veterans"
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/13/2002
Retrieve Notice of Action (NOA) 09/13/2002
  Inventory as of this Action Requested Previously Approved
09/30/2002 09/30/2002 01/31/2003
417 0 417
313 0 313
0 0 0
Need identified by DOD & VA to identify psychological and biomedical measurement for early identification of individuals at risk for stress related illnesses.
None
None
No
  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 417 417 0 0 0 0
Annual Time Burden (Hours) 313 313 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.
09/13/2002