Information Collection

Vietnam-Era Veterans Follow-up Survey

IC 231814 under ICR 201806-2900-003 · OMB 2900-0873.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Accel Aging in Vietnam Era Veterans Follow-up Study Mail Survey_revised per OMB_2019JULY24.pdf	Other-Mail Survey

IC Title:

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-Mail Survey					No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Veteran, Patient, Employee and Volunteer Research and Development Project Records-VA (34VA12)

FR Citation: 59 FR 16705

Number of Respondents: 4,560

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	4,560	4,560
Annual IC Time Burden (Hours)	3,420	3,420
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.

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