Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 2900-0709	ICR Reference No: 201305-2900-009
Status: Historical Active	Previous ICR Reference No: 201007-2900-002
Agency/Subagency: VA	Agency Tracking No:
Title: Application for Assistance for Hiring and Retaining Nurses at State Homes
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/18/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/19/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	36 Months From Approved	03/31/2014
Responses	15	0	50
Time Burden (Hours)	30	0	100
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	15	50	-35
Annual Time Burden (Hours)	30	100	-70
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Upon completion of the past 3 years, the rate of respondents was much less than anticipated. The number of respondents for this OMB renewal is reduced to a 3-year average of 15 respondents. The burden has been adjusted to reflect the decrease that is expected for this collection, as per lack of respondents.