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: 2900-0161	ICR Reference No: 200505-2900-001
Status: Historical Active	Previous ICR Reference No: 200204-2900-001
Agency/Subagency: VA	Agency Tracking No:
Title: Medical Expense Report
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: 07/14/2005
	Date Received in OIRA: 05/02/2005
Terms of Clearance: Approved consistent with the following terms of clearance: in the next submission of this collection to OMB for review VA shall report on progress to provide respondents with a fully electronic completion and submission process.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2008	07/31/2008	07/31/2005
Responses	96,400	0	96,400
Time Burden (Hours)	48,200	0	48,200
Cost Burden (Dollars)	0	0	0

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