View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 2900-0539	ICR Reference No: 199808-2900-005
Status: Historical Active	Previous ICR Reference No: 199508-2900-011
Agency/Subagency: VA	Agency Tracking No:
Title: Application for Supplemental Service Disabled Veterans Insurance
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: 10/06/1998
	Date Received in OIRA: 08/07/1998
Terms of Clearance: Approved for use through 10/2001 under the condition that the VA immediately incorporates into the forms/instructions the new disclosure statements pursuant to the Paperwork Reduction 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	10/31/2001	10/31/2001	10/31/1998
Responses	10,000	0	10,000
Time Burden (Hours)	3,333	0	3,333
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.