Information Collection

Follow-Up Study of a National Cohort of Gulf War and Gulf Era Veterans

IC 192951 under ICR 201005-2900-006 · OMB 2900-0780.

Documents and Forms

Document Name Document Type
Form VA Form 10-0488 Follow-Up Study of a National Cohort of Gulf War and Gulf Era Veterans Form and Instruction
VA Form 10-0488 Follow-Up Study of a National Cohort of Gulf War and Gul Survey Instrument 10-0488 (3).doc To Be Determined Form and Instruction
VA Form 10-0488a Consent to Release Medical Records VA Form 10-0488a Consent to Release Medical Records.pdf To Be Determined Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Follow-Up Study of a National Cohort of Gulf War and Gulf Era Veterans	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VA Form 10-0488	Follow-Up Study of a National Cohort of Gulf War and Gulf Era Veterans	Survey Instrument 10-0488 (3).doc	To Be Determined	Yes	Yes	Fillable Fileable
Form	VA Form 10-0488a	Consent to Release Medical Records	VA Form 10-0488a Consent to Release Medical Records.pdf	To Be Determined	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19,462	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	19,462	19,462
Annual IC Time Burden (Hours)	9,498	9,498
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.