Information Collection

Fsr 182 Va Vha

IC 44487 under ICR 200608-1505-003 · OMB 1505-0186.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0186 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FSR 182 VA VHA FSR 182 VA VHA	Form
FSR 182 VA VHA FSR 182 VA VHA Approved VA VHA MasterElementQuestionList.xls	Form

IC Title:

FSR 182 VA VHA

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FSR 182 VA VHA	FSR 182 VA VHA	Approved VA VHA MasterElementQuestionList.xls		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	208	208
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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