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: 2900-0065	ICR Reference No: 199808-2900-009
Status: Historical Active	Previous ICR Reference No: 199508-2900-029
Agency/Subagency: VA	Agency Tracking No:
Title: Request for Employment Information in Connection with Claim for Disability Benefits
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: 10/16/1998
	Date Received in OIRA: 08/19/1998
Terms of Clearance: Approved for use through 10/2001 under the condition that the VA immediately incorporates all new disclosure statements mandated by 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
Responses	60,000	0	0
Time Burden (Hours)	15,000	0	0
Cost Burden (Dollars)	0	0	0

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