Information Collection

6 BVA Appellant Questionnaire

IC 210480 under ICR 201308-2900-002 · OMB 2900-0816.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0816 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
6 BVA_Appellant_Questionnaire.doc.docx No URL - Telephonic script	Other-Telephonic script
6 BVA_Appellant_Questionnaire.doc.docx 6 BVA_Appellant_Questionnaire	IC Document

IC Title:

6 BVA Appellant Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-Telephonic script			6 BVA_Appellant_Questionnaire.doc.docx	No URL - Telephonic script	No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14,727

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14,727	14,727
Annual IC Time Burden (Hours)	1,571	1,571
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
6 BVA_Appellant_Questionnaire	6 BVA_Appellant_Questionnaire.doc.docx	02/24/2014

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