Information Collection

Development of Deployment Risk and Resilience Inventory (DRRI)

IC 184543 under ICR 200804-2900-017 · OMB 2900-0730.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0730 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Inform Consent Form 50 min..doc	Other-Informed Consent
Inform Consent Form 60 min..doc	Other-Informed Consent
VA Form 10-21087 Deployment Experiences Part I and Part II Deployment Experiences Part I and II.pdf	Form and Instruction

IC Title:

Development of Deployment Risk and Resilience Inventory (DRRI)

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	Available Electronically?	Electronic Capability
Other-Informed Consent			Inform Consent Form 50 min..doc	No	Paper Only
Other-Informed Consent			Inform Consent Form 60 min..doc	No	Paper Only
Form and Instruction	VA Form 10-21087	Deployment Experiences Part I and Part II	Deployment Experiences Part I and II.pdf	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	1,383	1,383
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.