View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0101	ICR Reference No: 201404-2900-008
Status: Historical Active	Previous ICR Reference No: 201104-2900-029
Agency/Subagency: VA	Agency Tracking No: 2900-0101 VBA-P&F-NK
Title: Eligibility Verification Reports (EVRs)
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: 04/10/2015
	Date Received in OIRA: 01/23/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved	04/30/2015
Responses	219,000	0	219,000
Time Burden (Hours)	113,075	0	113,075
Cost Burden (Dollars)	2,713,800	0	0

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

IC Title	Form No.	Form Name
Eligibility Verification Reports	VA Form 21P-0519S-1(Spanish), VA Form 21P-0510(Spanish), VA Form 21P-0512S-1, VA Form 21P-0512S-1 (Spanish), VA Form 21P-0510, VA Form 21P-0512V-1, VA Form 21P-0513-1 (Spanish), VA Form 21P-0513-1, VA Form 21P-0514-1, VA Form 21P-0514-1 (Spanish), VA Form 21P-0516-1, VA Form 21P-0516-1 (Spanish), VA Form 21P-0517-1, VA Form 21P-0517-1 (Spanish), VA Form 21P-0518-1, VA Form 21P-0518-1 (Spanish), VA Form 21P-0519C-1, VA Form 21P-0519C-1 (Spanish), VA Form 21P-0519S-1	, , , , , , , , , , , , , , , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	219,000	219,000	0
Annual Time Burden (Hours)	113,075	113,075	0
Annual Cost Burden (Dollars)	2,713,800	0	2,713,800

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:

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