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: 2900-0576	ICR Reference No: 200206-2900-004
Status: Historical Active	Previous ICR Reference No: 199707-2900-007
Agency/Subagency: VA	Agency Tracking No:
Title: Affirmation of Enrollment Agreement
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: 08/13/2002
	Date Received in OIRA: 06/26/2002
Terms of Clearance: OMB approval for VA form 22-1999c expired in September 2000 and the form has been used in violation of the Paperwork Reduction Act. VA must report this violation in next year's Information Collection Budget report. In the future, VA should take great care to assure that all its information collection activities have valid OMB control numbers.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2005	09/30/2005
Responses	4,700	0	0
Time Burden (Hours)	235	0	0
Cost Burden (Dollars)	0	0	0

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