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Federal forms, ICRs, and supporting documents

Information Collection Request

Regulation on Application for Fisher Houses and Other Temporary Lodging

ICR 201409-2900-012 · OMB 2900-0630 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 10-0408A Regulation on Application for Fisher Houses and Other Temporary Lodging Form and Instruction Modified Repair queued
2900-0630_VHA Fisher House App Justification 6-16-15 (5).docx Supporting Statement A Uploaded 2015-06-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28902 Regulation on Application for Fisher Houses and Other Temporary Lodging Form and Instruction Modified
ICR Details
2900-0630 201409-2900-012
Historical Active 201110-2900-005
VA 2900-0630
Regulation on Application for Fisher Houses and Other Temporary Lodging
Revision of a currently approved collection   No
Regular
Approved without change 06/22/2015
Retrieve Notice of Action (NOA) 02/10/2015
  Inventory as of this Action Requested Previously Approved
06/30/2018 36 Months From Approved 06/30/2015
500,000 0 500,000
83,333 0 83,333
0 0 0
This provides information to determine eligibility of Veterans receiving VA medical care or C&P examinations and familiar support members to VA sponsored temporary housing, for VA to reserve lodging and to notify requester.
PL: Pub.L. 106 - 419 221(a) Name of Law: Veterans Benefits and Health Care Act of 2000
   US Code: 38 USC 1708 Name of Law: Veterans Benefits - Temporary Lodging
  
None
Not associated with rulemaking
  79 FR 60587 10/07/2014
80 FR 1994 01/13/2015
No
1
IC Title Form No. Form Name
Regulation on Application for Fisher Houses and Other Temporary Lodging 10-0408A Temporary Housing Application
  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 500,000 500,000 0 0 0 0
Annual Time Burden (Hours) 83,333 83,333 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$5,970,340
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 [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.
02/10/2015