Information Collection

Close Personal Friend Statement of Relationship to Veteran

IC 241723 under ICR 202005-2900-003 · OMB 2900-0556.

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Information Collection (IC) Details

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IC Title:	Close Personal Friend Statement of Relationship to Veteran	Agency IC Tracking Number:	2900-0556

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 17.32

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	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	300	300
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

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