FORMER PRISONER OF WAR MEDICAL HISTORY

ICR 198606-2900-009

OMB: 2900-0389

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
174706 Migrated
ICR Details
2900-0389 198606-2900-009
Historical Active 198501-2900-007
VA
FORMER PRISONER OF WAR MEDICAL HISTORY
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/12/1986
Approved with change 06/12/1986
Retrieve Notice of Action (NOA) 06/12/1986
  Inventory as of this Action Requested Previously Approved
01/31/1988 01/31/1988 01/31/1988
3,075 0 10,000
3,075 0 10,000
0 0 0

THIS FORM IS FOR A ONE-TIME USE TO ASSESS THE MEDICAL HISTORY OF THIS GROUP OF VETERANS. IT WILL AID THE VETERANS ADMINISTRATION IN MEETING THE NEEDS OF FORMER PRISONERS OF WAR IN AREAS OF DISABILITY COMPENSATION, HEALTH CARE AND REHABILITATION.

None
None


No

1
IC Title Form No. Form Name
FORMER PRISONER OF WAR MEDICAL HISTORY 10-0048

  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 3,075 10,000 0 0 -6,925 0
Annual Time Burden (Hours) 3,075 10,000 0 0 -6,925 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.
06/12/1986


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