Information Collection

Locality Pay System for Nurses and Other Health Care Personnel

IC 28703 under ICR 201110-2900-006 · OMB 2900-0519.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0519 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-0132 Locality Pay System for Nurses and Other Health Care Personnel	Form and Instruction
10-0132 Locality Pay system for Nurses and Other Health Care Per 10-0132.pdf vaww.va.gov/vaforms/medical/pdf/vha-10-0132-fill.pdf	Form and Instruction

IC Title:

Locality Pay System for Nurses and Other Health Care Personnel

Agency IC Tracking Number:

2900-0519

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 and Instruction	10-0132	Locality Pay system for Nurses and Other Health Care Personnel	10-0132.pdf	http://vaww.va.gov/vaforms/medical/pdf/vha-10-0132-fill.pdf	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	90	-261	351
Annual IC Time Burden (Hours)	67	-196	263
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.