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Request To Firm For Estimate Of Cost For Purchase Or Repair Of Prosthetic Appliances
REQUEST TO FIRM FOR ESTIMATE OF COST FOR PURCHASE OR REPAIR OF PROSTHETIC APPLIANCES
OMB: 2900-0338
IC ID: 147972
OMB.report
VA
OMB 2900-0338
ICR 198610-2900-005
IC 147972
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
REQUEST TO FIRM FOR ESTIMATE OF COST FOR PURCHASE OR REPAIR OF PROSTHETIC APPLIANCES
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FL 10-90
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
22,500
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
22,500
0
0
22,500
0
0
Annual IC Time Burden (Hours)
1,800
0
0
1,800
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.