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View ICR - OIRA Conclusion

OMB Control No: 2900-0079	ICR Reference No: 198406-2900-029
Status: Historical Active	Previous ICR Reference No: 198106-2900-001
Agency/Subagency: VA	Agency Tracking No:
Title: EMPLOYMENT 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: 09/18/1984
	Date Received in OIRA: 06/19/1984
Terms of Clearance: APPROVED WITH THE ADDITION OF A CERTIFICATION AS FOLLOWS" I CERTIFY THAT MY SERVICE CONNECTED DISABILITY HAS NOT IMPROVED AND THAT IT PREVENTS ME FROM SECCURING OR FOLLOWING ANY SUBSTANTIALLY GAINFUL OCCCUPATION." THIS CERTIFICATION MUST APPEAR ON ALL FORMS IN USE AFTER JANUARY 1, 1985.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/1987	07/31/1987	07/31/1984
Responses	45,480	0	40,500
Time Burden (Hours)	3,790	0	3,375
Cost Burden (Dollars)	0	0	0

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