Information Collection

VA Form 08-10192, Information for Pre-Complaint Processing

IC 220758 under ICR 201702-2900-002 · OMB 2900-0716.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 08-10192 VA Form 08-10192, Information for Pre-Complaint Processing	Form and Instruction
VA Form 08-10192 Information for Pre-Complaint Processing VA10192 2900-0716.pdf www.va.gov/vaforms/	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1614.106

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 and Instruction	VA Form 08-10192	Information for Pre-Complaint Processing	VA10192 2900-0716.pdf	http://www.va.gov/vaforms/	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 707

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	707	707
Annual IC Time Burden (Hours)	354	354
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.