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View ICR - OIRA Conclusion

OMB Control No: 2900-0545	ICR Reference No: 201104-2900-028
Status: Historical Active	Previous ICR Reference No: 200805-2900-001
Agency/Subagency: VA	Agency Tracking No: 2900-0545
Title: Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/16/2012
	Date Received in OIRA: 09/01/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	01/31/2012
Responses	1,500	0	1,500
Time Burden (Hours)	1,125	0	1,125
Cost Burden (Dollars)	0	0	0

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