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Federal forms, ICRs, and supporting documents

Information Collection Request

Study of Health and Communications of Veterans for the War-Related Illness and Post-Deployment Health Issues Centers (WRIISC)

ICR 200301-2900-007 · OMB 2900-0641 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28915 Study of Health and Communications of Veterans for the War-Related Illness and Post-Deployment Health Issues Centers (WRIISC) Form Migrated
ICR Details
2900-0641 200301-2900-007
Historical Active
VA
Study of Health and Communications of Veterans for the War-Related Illness and Post-Deployment Health Issues Centers (WRIISC)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/04/2003
Retrieve Notice of Action (NOA) 01/31/2003
Approved with the changes faxed to OMB on Jan. 23, 2003. The proposed incentive for this study is not approved. If funds become available and VA determines that an incentive is necessary to achieve the desired response rate, VA must submit a change request (83-C) and provide a justification and detailed incentive structure at that time. Also, VA will not ask for respondent social security number or full date of birth.
  Inventory as of this Action Requested Previously Approved
02/29/2004 02/29/2004
3,500 0 0
2,625 0 0
0 0 0
The purpose of this sutdy is to help develop a plan for clinical, research, risk communication and educational activities for war-related illnesses and post-deployment health issues.
None
None
No
1
IC Title Form No. Form Name
Study of Health and Communications of Veterans for the War-Related Illness and Post-Deployment Health Issues Centers (WRIISC) 10-21060(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 3,500 0 0 3,500 0 0
Annual Time Burden (Hours) 2,625 0 0 2,625 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.
01/31/2003