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: 2900-0670	ICR Reference No: 200511-2900-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Fiduciary Statement in Support of Appointment
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/18/2006
	Date Received in OIRA: 11/22/2005
Terms of Clearance: Approved consistent with the following terms of clearance: in the next submission of this collection of information to OMB for approval VA shall report on agency efforts to provide respondents with a fully electronic version of associated forms which may be completed and submitted online.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2009	01/31/2009
Responses	7,500	0	0
Time Burden (Hours)	1,875	0	0
Cost Burden (Dollars)	0	0	0

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