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: 2900-0080	ICR Reference No: 200203-2900-014
Status: Historical Active	Previous ICR Reference No: 200108-2900-007
Agency/Subagency: VA	Agency Tracking No:
Title: Claim for Payment of Cost of Unauthorized Medical Services; Funeral Arrangements; Authority & Invoice for Travel by Ambulance or other Hired Vehicle; Authorization & Invoice for Medical....
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/12/2002
	Date Received in OIRA: 03/12/2002
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2004	11/30/2004	10/31/2004
Responses	480,100	0	480,100
Time Burden (Hours)	32,742	0	32,742
Cost Burden (Dollars)	0	0	0

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