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 Generic ICR - OIRA Conclusion

OMB Control No: 2900-0821	ICR Reference No: 201507-2900-006
Status: Historical Active	Previous ICR Reference No: 201406-2900-003
Agency/Subagency: VA	Agency Tracking No: VBA-LGY-NK
Title: Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion (26-0967) and Scoring Criteria for SAH Assistive Technology Grant (26-0967a)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/31/2015
	Date Received in OIRA: 10/27/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved
Responses	20	0	0
Time Burden (Hours)	40	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	20	20
Annual Time Burden (Hours)	40	40
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection. There is an "increase in burden" because we adjusted the numbers from minutes to hours to be consistent throughout the request.

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