Information Collection Request

Title 38 Positions - Applications and Appraisals for Employment - VA Forms 10-2850, 10-2850a, 10-2850c, 10-341(a)

ICR 202001-2900-006 · OMB 2900-0205 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FL 10-341(a) Appraisal of Applicant Form and Instruction New Repair queued
Form 10-2850c Application for Associated Health Occupations Form and Instruction New Repair queued
Form 10-2850a Application for Nurses and Nurse Anesthetists Form and Instruction New Repair queued
Form 10-2850 Application for Physicians, Dentists, Podiatrists, Optometrists, and Chiropractors Form and Instruction New Repair queued
Form 10-2850D Application for Health Professions Trainees - 10-2850D Form Modified Repair queued
30-day FRN_2900-0205_Title 38 Applications & Appraisals for Employment_pub 11192020.pdf Supplementary Document Uploaded 2020-11-19 Repair queued
60-day FRN_2900-0205_Title 38 Applications & Appraisals for Employment_pub 04152020.pdf Supplementary Document Uploaded 2020-04-24 Repair queued
Supp Statement A_2900-0205_Title 38 Applications - VA Form 10-2850 series_revised Nov 2020.docx Supporting Statement A Uploaded 2020-11-19 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241295 Appraisal of Applicant Form and Instruction New
241294 Application for Associated Health Occupations Form and Instruction New
241293 Application for Nurses and Nurse Anesthetists Form and Instruction New
241292 Application for Physicians, Dentists, Podiatrists, Optometrists, and Chiropractors Form and Instruction New
235698 Application for Health Professions Trainees - 10-2850D Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 10/31/2022
152,963 121,000
76,482 60,500
0 0





table that charts list of burden
  Total Request 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 152,963 121,000 0 31,963 0 0
Annual Time Burden (Hours) 76,482 60,500 0 15,982 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  Yes
 
Reginfo record details
table that charts list of RCF
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title