Information Collection

Health Surveillance For A New Generation Of U.s. Veterans

IC 183932 under ICR 200802-2900-010 · OMB 2900-0722.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0722 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Questionnaire.doc To be determine	Other-Survey

IC Title:

HEALTH SURVEILLANCE FOR A NEW GENERATION OF U.S. VETERANS

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
Other-Survey			Questionnaire.doc	To be determine	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 38,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	38,300	38,300
Annual IC Time Burden (Hours)	24,858	24,858
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.