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 ICR - OIRA Conclusion

OMB Control No: 2900-0205	ICR Reference No: 202001-2900-006
Status: Historical Inactive	Previous ICR Reference No: 201904-2900-002
Agency/Subagency: VA	Agency Tracking No: 2900-0205
Title: Title 38 Positions - Applications and Appraisals for Employment - VA Forms 10-2850, 10-2850a, 10-2850c, 10-341(a)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: Yes
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 08/04/2021
	Date Received in OIRA: 11/20/2020
Terms of Clearance: Withdrawn while the Program continues to work on revisions.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2022	36 Months From Approved	05/31/2023
Responses	121,000	0	121,000
Time Burden (Hours)	60,500	0	60,500
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government: $15,172,527

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Frances O'Donnell 703 405-2449 fran.odonnell@cathexiscorp.com

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.