Information Collection

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

IC 28791 under ICR 200702-2900-001 · OMB 2900-0578.

Documents and Forms

Document Name Document Type
Form 10-7959E Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation Form
10-7959E Claims for Miscellaneous Expenses 2900-0578 VA Form 10-7959e-fill.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 17.900 through 17.905

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-7959E	Claims for Miscellaneous Expenses	2900-0578 VA Form 10-7959e-fill.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	31,400	31,400
Annual IC Time Burden (Hours)	3,400	3,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.