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: 2900-0179	ICR Reference No: 200502-2900-003
Status: Historical Active	Previous ICR Reference No: 200201-2900-024
Agency/Subagency: VA	Agency Tracking No:
Title: Application for Change of Permanent Plan (Medical)
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: 05/02/2005
	Date Received in OIRA: 02/16/2005
Terms of Clearance: Approved consistent with the following terms of clearance: in the next submission of this collection of information to OMB for review VA shall provide an update on agency efforts to provide a fillable form which may be completed and submitted by respondents electronically. In future VA will explicitly state under item 8 of the Justification statement submitted to OMB for review whether the agency received comments on the proposed collection of information.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2008	05/31/2008	04/30/2005
Responses	28	0	28
Time Burden (Hours)	14	0	14
Cost Burden (Dollars)	0	0	0

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