View Information Collection Request (ICR) Package

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: 2900-0011	ICR Reference No: 197701-2900-043
Status: Historical Active	Previous ICR Reference No: 197603-2900-019
Agency/Subagency: VA	Agency Tracking No:
Title: APPLICATION (MEDICAL) FOR REINSTATEMENT-LIFE INSURANCE/DISABILITY INCOME PROV.
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 01/24/1977
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/24/1977
	Date Received in OIRA: 01/24/1977
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1977	03/31/1977	03/31/1977
Responses	2,300	0	10,000
Time Burden (Hours)	3,450	0	15,000
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.