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: 2900-0068	ICR Reference No: 201010-2900-011
Status: Historical Active	Previous ICR Reference No: 200804-2900-002
Agency/Subagency: VA	Agency Tracking No: 2900-0068
Title: Application for Service-Disabled Veterans Insurance
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/10/2011
	Date Received in OIRA: 05/12/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	08/31/2011
Responses	25,000	0	4,250
Time Burden (Hours)	8,333	0	2,833
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	25,000	4,250	20,750
Annual Time Burden (Hours)	8,333	2,833	5,500
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is a change in respondent burden due to the fact certain medical questions have been removed from the forms. Also, the increase in the burden hours is due to more veterans becoming eligible for this type of insurance, therefore more applications are received and the inclusion of VA Form 29-4364c.

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