National Health Study for a New Generation of U.S. Veterans

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA Form 10-0523 NATIONAL HEALTH STUDY FOR A NEW GENERATION OF U.S. VETERANS	Form	Modified	Available
VA Response to OMB re 2900-0722.pdf	Supplementary Document	Uploaded 2012-07-03	Available
VA Response to 2900-0722 terms.pdf	Supplementary Document	Uploaded 2012-07-03	Available
Supporting Statement B 2011.docx	Supporting Statement B	Uploaded 2011-11-06	Available
2900-0722 justification.docx	Supporting Statement A	Uploaded 2011-12-19	Available
Informed Consent.pdf	Supplementary Document	Uploaded 2011-11-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
183932	NATIONAL HEALTH STUDY FOR A NEW GENERATION OF U.S. VETERANS	Form	Modified

ICR Details

OMB Control No: 2900-0722	ICR Reference No: 201110-2900-003
Status: Historical Active	Previous ICR Reference No: 200802-2900-010
Agency/Subagency: VA	Agency Tracking No: 2900-0722
Title: National Health Study for a New Generation of U.S. Veterans
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/30/2012
	Date Received in OIRA: 12/19/2011
Terms of Clearance: At the time of the next submission, VA will submit a report on the response rates achieved and the results of nonresponse bias analyses.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2015	36 Months From Approved	07/31/2012
Responses	24,000	0	38,300
Time Burden (Hours)	15,467	0	24,858
Cost Burden (Dollars)	0	0	0

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Abstract: The survey of a population based sample of OIF/OEF veterans and a comparable group of non-deployed veterans will allow VA to collect information on their current health status and concerns, exposures of concern in the theater, health care preferences, and health behaviors and attitudes. More importantly, the survey will help VA to gain knowledge on the veterans who have not used VA health care since they returned from the current conflict. Approximately 2/3 of OIF/OEF veterans have not used VA health care, despite intensive outreach efforts. Information from the survey will assist VA in planning and providing better health care for these veterans and to improve VA's understanding of the long-term consequences of military deployment.

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Authorizing Statute(s): US Code: 38 USC Section 7303 Name of Law: Functions of Veterans Health Administration: research
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 197	10/12/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 243	12/19/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
NATIONAL HEALTH STUDY FOR A NEW GENERATION OF U.S. VETERANS	VA Form 10-0523	National Health Study for a New Generation of U.S. Veterans

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	24,000	38,300	0	0	-14,300	0
Annual Time Burden (Hours)	15,467	24,858	0	0	-9,391	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are changes to the number of respondents expected based on VHA's experience with the initial data collection. The initial estimation was much higher than results.

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Annual Cost to Federal Government: $2,285,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/19/2011

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