Information Collection

Survey of Post-Deployment Adjustment Among OEF and OIF Veterans

IC 186169 under ICR 201111-2900-008 · OMB 2900-0727.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 10-21089 Survey of Post-Deployment Adjustment Among OEF and OIF Veterans	Form
VA Form 10-21089 Survey of Post-Deployment Adjustment Among OEF and OIF V Survey Form 10-21089.pdf	Form
10-21089 Introductory Survey Letter.doc Introductory Survey Letter	IC Document
10-21089 Thank you Reminder Card.doc Thank You Reminder Card	IC Document
10-21089 Letter to accompany survey.doc Letter accompanying the survey	IC Document
10-21089 Letter for second survey mailing.doc Second letter regarding survey	IC Document
10-21089 Letter for final survey mailing.doc Final letter	IC Document

IC Title:

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 10-21089	Survey of Post-Deployment Adjustment Among OEF and OIF Veterans	Survey Form 10-21089.pdf		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

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	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	1,333	1,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Introductory Survey Letter	10-21089 Introductory Survey Letter.doc	11/24/2008
Thank You Reminder Card	10-21089 Thank you Reminder Card.doc	11/24/2008
Letter accompanying the survey	10-21089 Letter to accompany survey.doc	11/25/2008
Second letter regarding survey	10-21089 Letter for second survey mailing.doc	11/25/2008
Final letter	10-21089 Letter for final survey mailing.doc	11/25/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.