View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0065	ICR Reference No: 201405-2900-008
Status: Historical Active	Previous ICR Reference No: 201305-2900-012
Agency/Subagency: VA	Agency Tracking No: 2900-0065 VBA-COMP-YM
Title: Request for Employment Information in Connection with Claim for Disability Benefits (VA Form 21-4192)
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: 11/19/2014
	Date Received in OIRA: 09/02/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved	12/31/2016
Responses	60,000	0	60,000
Time Burden (Hours)	15,000	0	15,000
Cost Burden (Dollars)	0	0	0

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