View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0114	ICR Reference No: 200503-2900-015
Status: Historical Active	Previous ICR Reference No: 200202-2900-011
Agency/Subagency: VA	Agency Tracking No:
Title: Statement of Marital Relationship
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/03/2005
	Date Received in OIRA: 03/17/2005
Terms of Clearance: Approved consistent with clarification in VA memo submitted to OMB 06/02/05.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2008	06/30/2008	06/30/2005
Responses	6,500	0	6,000
Time Burden (Hours)	2,708	0	3,000
Cost Burden (Dollars)	0	0	0

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