Accelerated Aging among Vietnam-Era Veterans Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
30 Day FRN - Published.pdf	Supplementary Document	Uploaded 2018-09-18	Available
60 Day FRN - Published.pdf	Supplementary Document	Uploaded 2018-07-03	Available
Justification A_Accelerated Aging_updated with FRN Citation_070318.doc	Supporting Statement A	Uploaded 2018-07-03	Available
Justification B_Accelerated Aging 2017.doc	Supporting Statement B	Uploaded 2018-06-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
231814	Vietnam-Era Veterans Follow-up Survey	Other-Mail Survey	New
231813	Vietnam-Era Veterans Follow-up Telephone Survey	Other-Phone Survey	New

ICR Details

OMB Control No: 2900-0873	ICR Reference No: 201806-2900-003
Status: Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Accelerated Aging among Vietnam-Era Veterans Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/01/2019
	Date Received in OIRA: 10/11/2018
Terms of Clearance: Prior to giving respondents the option to donate the incentive to any organization, the Program Office will consult with VA's Office of General Counsel before proceeding.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2022	36 Months From Approved
Responses	8,210	0	0
Time Burden (Hours)	6,158	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Center for PTSD (NCPTSD) was recently allocated funds by Congress to be used for research to advance the prevention and treatment of PTSD. The original language of the legislation states the following: “The committee recognizes the importance of the VA National Center for PTSD in promoting better prevention, diagnoses, and treatment of PTSD.” In response to this, we have developed a study that aims to understand how and the degree to which war zone deployment is associated with increased morbidity and mortality, with particular attention to potential differences among white, black, and Hispanic Veterans, as well as male and female Veterans. To this end, we will consider multiple aspects of military service, deployment experiences, and current stressors of Vietnam-era Veterans in relation to current physical and mental health outcomes. This information will directly inform intervention efforts aimed at prevention or treatment of chronic disorders such as PTSD, depression, and substance/alcohol use disorders, as well as co-morbid physical health conditions, particularly in under served portions of our Veteran population. This type of information can inform system-wide interventions that can maximize Veterans’ likelihood of receiving timely and evidence-based healthcare, thereby preventing long-term health problems.

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Authorizing Statute(s): US Code: 38 USC 527 Name of Law: Evaluation and Data Collection
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 31255	07/03/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 47243	09/18/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Vietnam-Era Veterans Follow-up Telephone Survey
Vietnam-Era Veterans Follow-up Survey

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ICR Summary of Burden

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	8,210	0	0	8,210	0	0
Annual Time Burden (Hours)	6,158	0	0	6,158	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection and all burden hours are considered a program increase.

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Annual Cost to Federal Government: $183,459

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/11/2018

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