No Wrong Door System Management Tool-Veteran Directed

No Wrong Door System Management Tool

OMB: 0985-0062

IC ID: 234842

Information Collection (IC) Details

View Information Collection (IC)

No Wrong Door System Management Tool-Veteran Directed
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA VDC Tool 0062 Attachment B_Veteran Directed Care Tool Ext 2022.pdf Yes Yes Fillable Fileable Signable

Health Health Care Services

 

275 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,300 0 0 -1,500 0 4,800
Annual IC Time Burden (Hours) 1,650 0 0 -750 0 2,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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