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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 200212-2900-004 · OMB 2900-0578 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
42217 Provision of Health Care to Vietnam Veterans' Children with Spina Bifida-Regulation Form Migrated
ICR Details
2900-0578 200212-2900-004
Historical Active 200107-2900-017
VA
Provision of Health Care to Vietnam Veterans' Children with Spina Bifida-Regulation
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/23/2002
Retrieve Notice of Action (NOA) 12/23/2002
  Inventory as of this Action Requested Previously Approved
07/31/2004 07/31/2004 07/31/2004
3,400 0 12,000
3,400 0 1
0 0 0
These collections enable VA to pay providers for services rendered to Vietnam Veterans' children with Spina Bifida. Recordkeeping allows VA to verify and document claims.
None
None
No
1
IC Title Form No. Form Name
Provision of Health Care to Vietnam Veterans' Children with Spina Bifida-Regulation 10-7959E
  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 3,400 12,000 0 -8,600 0 0
Annual Time Burden (Hours) 3,400 1 0 3,399 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
12/23/2002