TEMPORARY LOAN FOLLOW-UP LETTER

ICR 198402-2900-025

OMB: 2900-0340

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
174665 Migrated
ICR Details
2900-0340 198402-2900-025
Historical Active 198312-2900-006
VA
TEMPORARY LOAN FOLLOW-UP LETTER
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/27/1984
Approved with change 02/27/1984
Retrieve Notice of Action (NOA) 02/27/1984
  Inventory as of this Action Requested Previously Approved
09/30/1986 09/30/1986 09/30/1986
2,900 0 2,900
200 0 340
0 0 0

THIS FORM IS USED TO OBTAIN CURRENT INFORMATION ON PATIENT'S CONTINUED NEED FOR A PROSTHETIC DEVICE OR APPLIANCE THAT WAS LOANED TO HIM/HER B THE VETERANS ADMINISTRATION.

None
None


No

1
IC Title Form No. Form Name
TEMPORARY LOAN FOLLOW-UP LETTER 10-426

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,900 2,900 0 0 0 0
Annual Time Burden (Hours) 200 340 0 0 -140 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/27/1984


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