View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0101	ICR Reference No: 199709-2900-007
Status: Historical Active	Previous ICR Reference No: 199606-2900-010
Agency/Subagency: VA	Agency Tracking No:
Title: Eligibility Verification Reports
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/18/1997
	Date Received in OIRA: 09/26/1997
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2000	11/30/2000	11/30/1997
Responses	709,450	0	812,500
Time Burden (Hours)	354,725	0	406,250
Cost Burden (Dollars)	0	0	0

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

IC Title	Form No.	Form Name
Eligibility Verification Reports	21-0511S, 21-0511S-1, 21-0511V, 21-0511V-1, 21-0512S, 21-0512S-1, 21-0512V, 21-0512V-1, 21-0513, 21-0513-1

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	709,450	812,500	-103,050
Annual Time Burden (Hours)	354,725	406,250	-51,525
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: Yes

Burden Reduction Due to:

Short Statement:

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