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: 2900-0101	ICR Reference No: 201104-2900-029
Status: Historical Active	Previous ICR Reference No: 200803-2900-012
Agency/Subagency: VA	Agency Tracking No: 2900-0101
Title: Eligibility Verification Reports
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: 07/27/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	01/31/2012
Responses	219,000	0	219,000
Time Burden (Hours)	113,075	0	113,075
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Eligibility Verification Reports	VA Form 21-0513-1, VA Form 21-0512s-1, VA Form 21-0514-1, VA Form 21-0519s-1, VA Form 21-0517-1, VA Form 21-0519s, VA Form 21-0514, VA Form 21-0517, VA Form 21-0516, VA Form 21-0518, VA Form 21-0510, VA Form 21-0519c, VA Form 21-0516-1, VA Form 21-0518-1, VA Form 21-0519c-1, VA Form 21-0512v-1	, , , , , , , , , , , , , , ,

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