Information Collection

Chiropractic Services Pilot Program

IC 148307 under ICR 198709-2900-030 · OMB 2900-0485.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

CHIROPRACTIC SERVICES PILOT PROGRAM

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	VA 10-20838	No	No
Form	A THRU F	No	No
Form	(NR)	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,785

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,785	4,785
Annual IC Time Burden (Hours)	3,075	3,075
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.