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Federal forms, ICRs, and supporting documents

Information Collection Request

Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation

ICR 200403-2900-003 · 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
28791 Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation Form Migrated
ICR Details
2900-0578 200403-2900-003
Historical Active 200212-2900-004
VA
Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation
Extension without change of a currently approved collection   No
Regular
Approved without change 03/24/2004
Retrieve Notice of Action (NOA) 03/19/2004
  Inventory as of this Action Requested Previously Approved
03/31/2007 03/31/2007 07/31/2004
31,400 0 3,400
3,400 0 3,400
0 0 0
These collections enable VA to pay providers for services rendered to Vietnam Veterans' children with Spina Bidfida and other covered birth defects. Recordkeeping allows VA to verify and document claims.
None
None
No
1
IC Title Form No. Form Name
Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - 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 31,400 3,400 0 28,000 0 0
Annual Time Burden (Hours) 3,400 3,400 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
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.
03/19/2004