OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Follow-Up Study of a National Cohort of Gulf War and Gulf Era Veterans

ICR 201005-2900-006 · OMB 2900-0780 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 10-0488 Follow-Up Study of a National Cohort of Gulf War and Gulf Era Veterans Form and Instruction New Repair queued
Responses to OMB.docx Supplementary Document Uploaded 2012-02-25 Available
10-0488 Justification_A12012 2 16.docx Supporting Statement A Uploaded 2012-02-27 Available
Veterans Consent Cover Letter for Medical Records.doc Supplementary Document Uploaded 2010-08-24 Available
Provider Cover Letter for Veterans Medical Records.doc Supplementary Document Uploaded 2010-08-24 Available
OMB Justification B (v3)2010.doc Supporting Statement B Uploaded 2010-08-24 Available
GWI and Health of GW Veterans_RAC-GWVI Report.pdf Supplementary Document Uploaded 2010-08-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
192951 Follow-Up Study of a National Cohort of Gulf War and Gulf Era Veterans Form and Instruction New
ICR Details
2900-0780 201005-2900-006
Historical Active
VA
Follow-Up Study of a National Cohort of Gulf War and Gulf Era Veterans
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/27/2012
Retrieve Notice of Action (NOA) 04/18/2011
In accordance with 5 CFR, this information collection is approved. However, VA will upload, via non-substantive change request, the telephone script for the follow-up call within 60 days of this approval. VA and OMB have agreed that VA and its contractor will provide an analysis plan for conducting more robust nonresponse bias analyses to OMB within 6 months from approval of this collection. This analysis will leverage the information VA has collected from earlier waves and will also address differential nonresponse between deployed and non-deployed Veterans. VA will provide a copy of the report of the results from these analyses to OMB when they are completed. If VA fails to provide the information required, OMB may revisit this approval.
  Inventory as of this Action Requested Previously Approved
02/28/2015 36 Months From Approved
19,462 0 0
9,498 0 0
0 0 0
The information obtained from this survey will provide a comprehensive understanding of the experiences and health concerns(both chronic and time dependent)of Gulf War Veterans.
US Code: 38 USC Part 1, Chapter 5, section 527 Name of Law: Veterans Benefits
  
None
Not associated with rulemaking
  75 FR 172 09/07/2010
75 FR 221 11/17/2010
Yes
  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 19,462 0 0 19,462 0 0
Annual Time Burden (Hours) 9,498 0 0 9,498 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection. All hours are considered a program change.
$1,231,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Denise McLamb 202-565-8374 [email protected]
  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.
04/18/2011