Information Collection Request

VA Enrollment Certification

ICR 200609-2900-005 · OMB 2900-0073 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 22-1999 Enrollment Certification Form Modified Available
2900-0073 revised justification(12-5-06) (2).doc Supplementary Document Uploaded 2006-12-06 Available
2900-0073 Justification.doc Supporting Statement A Uploaded 2006-10-03 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
28218 Enrollment Certification Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2009 36 Months From Approved 12/31/2006
1,109,129 0 916,160
158,975 0 137,424
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Enrollment Certification 22-1999 VA Enrollment Certification

table that charts list of burden
  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 1,109,129 916,160 0 47,797 145,172 0
Annual Time Burden (Hours) 158,975 137,424 0 5,338 16,213 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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