Information Collection

National Health Study For A New Generation Of U.s. Veterans

IC 183932 under ICR 201110-2900-003 · OMB 2900-0722.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 10-0523 National Health Study for a New Generation of U.S. Veterans NATIONAL HEALTH STUDY FOR A NEW GENERATION OF U.S. VETERANS	Form
VA Form 10-0523 National Health Study for a New Generation of U.S. Veter Nat Health Study NGV Form 281809-2vb final.pdf	Form

IC Title:

NATIONAL HEALTH STUDY FOR A NEW GENERATION OF U.S. VETERANS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form	VA Form 10-0523			Paper / Telephone / Online_(URL to be determined)	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	24,000	-14,300	38,300
Annual IC Time Burden (Hours)	15,467	-9,391	24,858
Annual IC Cost Burden (Dollars)	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.

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