View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0114	ICR Reference No: 201312-2900-015
Status: Historical Active	Previous ICR Reference No: 201103-2900-008
Agency/Subagency: VA	Agency Tracking No: 2900-0114 VBA-COMP-NK
Title: Statement of Marital Relationship (21-4170)
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: 09/15/2014
	Date Received in OIRA: 07/08/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	09/30/2014
Responses	6,500	0	6,500
Time Burden (Hours)	2,708	0	2,708
Cost Burden (Dollars)	0	0	0

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