Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certification Regarding Lobbying New 156 13 0 Form 10-0144
Department of Veterans Affairs Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals Modified 156 13 0 Form 10-0143
Request for Prescription Drugs from an Eligible Veteran in a State Home New 11000 5500 0 Form 10-0460
State Home Inspection Staffing Profile New 156 78 0 Form and Instruction 10-3567
Statement of Assurance of Compliance with Equal Opportunity Laws New 156 13 0 Form 10-0144A
Statement of Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973 New 156 13 0 Form 10-0143A
Total burden requested under this ICR: 11780 5630 0  
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