OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Supplemental Physical Examination Report

IC 28541 under ICR 200804-2900-005 · OMB 2900-0324.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form VA Form 29-8146
Supplemental Physical Examination Report		 Form
VA Form 29-8146 Supplemental Physical Examination Report
29-8146.pdf
www.va.gov/vaforms 		Form
VA Form 29-8160 Supplemental Physical Examination Report (Diabetes - Phy
29-8160.PDF
www.va.gov/vaforms 		Form
VA Form 29-8158 Attending Physician's Statement
29-8158.pdf
www.va.gov/vaforms 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 VA Form 29-8146 Supplemental Physical Examination Report 29-8146.pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 29-8160 Supplemental Physical Examination Report (Diabetes - Physician's Report) 29-8160.PDF www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 29-8158 Attending Physician's Statement 29-8158.pdf www.va.gov/vaforms Yes No Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,440 0 0 0 0 1,440
Annual IC Time Burden (Hours) 1,080 0 0 0 0 1,080
Annual IC Cost Burden (Dollars) 0 0 0 0 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.