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View ICR - OIRA Conclusion

OMB Control No: 2900-0101	ICR Reference No: 198404-2900-001
Status: Historical Active	Previous ICR Reference No: 198308-2900-013
Agency/Subagency: VA	Agency Tracking No:
Title: ANNUAL INCOME REPORTING (QUESTIONNAIRE)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/01/1984
	Date Received in OIRA: 04/02/1984
Terms of Clearance: APPROVED WITH CHANGES TO QUESTIONS ON MEDICAL EXPENDITURES AS AGREED TO BY VA.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/1986	02/28/1986	04/30/1985
Responses	1,600,000	0	50,000
Time Burden (Hours)	400,000	0	16,667
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,600,000	50,000	1,550,000
Annual Time Burden (Hours)	400,000	16,667	383,333
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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