Information Collection

National Health Study For A New Generation Of U.s. Veterans

IC 183932 under ICR 201110-2900-003 · OMB 2900-0722.

Documents and Forms

Document Name Document Type
Form VA Form 10-0523 NATIONAL HEALTH STUDY FOR A NEW GENERATION OF U.S. VETERANS Form
VA Form 10-0523 National Health Study for a New Generation of U.S. Veter Nat Health Study NGV Form 281809-2vb final.pdf Paper / Telephone / Online_(URL to be determined) Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NATIONAL HEALTH STUDY FOR A NEW GENERATION OF U.S. VETERANS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 10-0523	National Health Study for a New Generation of U.S. Veterans	Nat Health Study NGV Form 281809-2vb final.pdf	Paper / Telephone / Online_(URL to be determined)	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	24,000	-14,300	38,300
Annual IC Time Burden (Hours)	15,467	-9,391	24,858
Annual IC Cost Burden (Dollars)	0	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.