View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0101	ICR Reference No: 198507-2900-004
Status: Historical Active	Previous ICR Reference No: 198504-2900-009
Agency/Subagency: VA	Agency Tracking No:
Title: ELIGIBILITY VERIFICATION REPORT
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: 07/16/1985
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/16/1985
	Date Received in OIRA: 07/16/1985
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1986	09/30/1986	09/30/1986
Responses	1,500,000	0	1,600,000
Time Burden (Hours)	300,000	0	400,000
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
ELIGIBILITY VERIFICATION REPORT	VA 21-4179, 21-8913, 21-8914, 21-8915, 21-8916, 21-8917, 21-8918, 21-8919

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,500,000	1,600,000	-100,000
Annual Time Burden (Hours)	300,000	400,000	-100,000
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: No

Burden Reduction Due to:

Short Statement:

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