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Mail, Email, Hotline and Fax Complaints
VHA Fraud, Waste and Abuse Complaints (VA Form 10-390)
OMB:
IC ID: 268547
OMB.report
VA
ICR 202405-2900-006
IC 268547
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Mail, Email, Hotline and Fax Complaints
Agency IC Tracking Number:
2900-NEW
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
38 CFR 42
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
110VA17 -- Compliance Record, Response, and Resolution of Reports of Persons Allegedly Involved in Compliance Violations—VA
FR Citation:
74 FR 41490
Number of Respondents:
1,400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
1,400
0
1,400
0
0
0
Annual IC Time Burden (Hours)
233
0
233
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.