View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0079	ICR Reference No: 201404-2900-016
Status: Historical Active	Previous ICR Reference No: 201104-2900-025
Agency/Subagency: VA	Agency Tracking No: 2900-0079 VBA-COMP-YM
Title: Employment Questionnaire (21-4140 & 21-4140-1)
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: 12/23/2014
	Date Received in OIRA: 10/03/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2017	36 Months From Approved	01/31/2015
Responses	130,000	0	130,000
Time Burden (Hours)	10,833	0	10,833
Cost Burden (Dollars)	0	0	0

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