Information Collection

Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation

IC 28791 under ICR 200702-2900-001 · OMB 2900-0578.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-7959E Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation	Form
10-7959E Claims for Miscellaneous Expenses 2900-0578 VA Form 10-7959e-fill.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 17.900 through 17.905

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	10-7959E	Claims for Miscellaneous Expenses	2900-0578 VA Form 10-7959e-fill.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 31,400

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	Previously Approved
Annual Number of Responses for this IC	31,400	31,400
Annual IC Time Burden (Hours)	3,400	3,400
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.