Information Collection

BVA Appellant Questionnaire

IC 210480 under ICR 201602-2900-039 · 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⚠️ Notice: This information collection may be referencing outdated material.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
BVA_Appellant_Questionnaire 2.24.16.docx No URL address - Telephonic Script	Other-Telephonic Script
BVA_Appellant_Questionnaire 2.24.16.docx BVA Appellant Questionnaire 2.24.16	IC Document

IC Title:

BVA Appellant Questionnaire

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
Other-Telephonic Script			BVA_Appellant_Questionnaire 2.24.16.docx	No URL address - 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	Previously Approved
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
BVA Appellant Questionnaire 2.24.16	BVA_Appellant_Questionnaire 2.24.16.docx	02/24/2016

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