Information Collection Request

Requirement to Present Certain Health Information for a Service Dog under 38 C.F.R. 1.218(a)(11)

ICR 201512-2900-023 · OMB 2900-0831 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
AO39 Final Rule.doc Supplementary Document Uploaded 2015-12-30 Available
Emergency Clearance Request Service Dogs_Final_061815.doc Supplementary Document Uploaded 2015-06-18 Available
Emergency Clearance Request Service Dogs.doc Supplementary Document Uploaded 2015-05-18 Available
PRA justification_AO39_123115.doc Supporting Statement A Uploaded 2015-12-31 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
216606 Verification of Service Dog Immunization Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2018 36 Months From Approved 12/31/2015
1,500 0 1,500
125 0 125
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Verification of Service Dog Immunization

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,500 1,500 0 0 0 0
Annual Time Burden (Hours) 125 125 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No