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: 2900-0079	ICR Reference No: 200505-2900-004
Status: Historical Active	Previous ICR Reference No: 200210-2900-013
Agency/Subagency: VA	Agency Tracking No:
Title: Employment Questionnaire
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/08/2005
	Date Received in OIRA: 05/11/2005
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 the status of agency efforts to provide a complete electronic process for filling out and submitting forms under this approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2008	07/31/2008
Responses	130,000	0	0
Time Burden (Hours)	10,833	0	0
Cost Burden (Dollars)	0	0	0

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