View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0080	ICR Reference No: 199803-2900-007
Status: Historical Active	Previous ICR Reference No: 199508-2900-010
Agency/Subagency: VA	Agency Tracking No:
Title: Authorization and Invoice for Medical and Hospital Services; Claim for Payment of Unauthorized Medical Services; Authority and Invoice for Travel by Ambulance or Other Hired Vehicle
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/22/1998
	Date Received in OIRA: 03/18/1998
Terms of Clearance: Approved for use through 5/2001 under the condition that the VA immediately incorporates the new disclosure statements mandated pursuant to the Paperwork Reducton Act of 1995. For the public record, the VA must submit to OMB the revised forms/instructions.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2001	05/31/2001
Responses	1	0	0
Time Burden (Hours)	29,671	0	0
Cost Burden (Dollars)	0	0	0

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