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Federal forms, ICRs, and supporting documents

Information Collection Request

Regulation for Informed Consent for Patient Care (Title 38 CFR 17.32)

ICR 200410-2900-006 · OMB 2900-0583 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28805 Regulation for Informed Consent for Patient Care (Title 38 CFR 17.32) Migrated
ICR Details
2900-0583 200410-2900-006
Historical Active 200109-2900-002
VA
Regulation for Informed Consent for Patient Care (Title 38 CFR 17.32)
Extension without change of a currently approved collection   No
Regular
Approved without change 05/02/2005
Retrieve Notice of Action (NOA) 10/22/2004
Approved consistent with OMB conversations with VA. Respondents are not obliged to use a particular form for this collection of information however guidance regarding the submission of information is provided through VA manuals. If VA does decide to require a specfic form in future this collection shall be resubmitted to OMB for review as a revision.
  Inventory as of this Action Requested Previously Approved
05/31/2008 05/31/2008 04/30/2005
376,000 0 240,000
94,000 0 60,000
0 0 0
Disclosure requirements imposed on non-VA physicians to insure that patients have sufficient information to provide educated and informed consent for medical procedures.
None
None
No
1
IC Title Form No. Form Name
Regulation for Informed Consent for Patient Care (Title 38 CFR 17.32)
  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 376,000 240,000 0 0 136,000 0
Annual Time Burden (Hours) 94,000 60,000 0 0 34,000 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.
10/22/2004