Information Collection

Development of Deployment Risk and Resilience Inventory (DRRI)

IC 184543 under ICR 200804-2900-017 · OMB 2900-0730.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0730 can be found here:

Documents and Forms

Document Name Document Type
Inform Consent Form 50 min..doc Other-Informed Consent
Inform Consent Form 60 min..doc Other-Informed Consent
VA Form 10-21087 Deployment Experiences Part I and Part II Deployment Experiences Part I and II.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Development of Deployment Risk and Resilience Inventory (DRRI)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Other-Informed Consent			Inform Consent Form 50 min..doc	No	Paper Only
Other-Informed Consent			Inform Consent Form 60 min..doc	No	Paper Only
Form and Instruction	VA Form 10-21087	Deployment Experiences Part I and Part II	Deployment Experiences Part I and II.pdf	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	1,383	1,383
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.