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Federal forms, ICRs, and supporting documents

Information Collection

Survey of Chronic Gastrointestinal Illness inPersian Gulf Veterans (Irritaable Bowel syndrome - Diarrhea)

IC 188135 under ICR 201209-2900-003 · OMB 2900-0742.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Survey of Chronic Gastrointestinal Illness inPersian Gulf Veterans (Irritaable Bowel syndrome - Diarrhea) 2900-0742
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction VA Form 10-21092c Survey of Chronic Gastrointestinal Illness in Persian Gulf Veterans IBS PG Veterans' Survey.pdf To Be Determined Yes No Fillable Printable
Form and Instruction VA Form 10-21092A Patient Consent Form - Cases Study VA Form 10-21092a (Case).doc No   Paper Only
Form and Instruction VA Form 10-21092B Patient Consent Form - Controls Study VA Form 10-21092b (Control).doc No   Paper Only

Health Public Health Monitoring

Veteran, Patient, Employee and Volunteer Research and Development Project Records-VA (34VA12)  45 FR 160

4,354 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,354 0 0 354 4,000 0
Annual IC Time Burden (Hours) 3,072 0 0 0 3,072 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.