OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Agent Orange Registry Code Sheet

OMB 2900-0376 ยท VA.

OMB 2900-0376

This records symptoms, reproductive health problems and diagnoses detected during the Agent Orange Registry examination process and identifies veterans interested in knowing of health risks, research findings and new compensation policies through newsletters.

The latest form for Agent Orange Registry Code Sheet expires 2020-08-31 and is listed under ICR 201609-2900-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form VA Form 10-9009 Agent Orange Registry Code SheetForm
Registry exam privacy statement OMB Aug 17.docx Supplementary Document
PIA FY15 EAS (signed).pdf Supplementary Document
OMB AO Registry Justification B PDHS Registry_072617.docSupporting Statement B
OMB AO A 2900-0376 justification 121416(3).docxSupporting Statement A
Agent Orange Registry Code Sheet Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201609-2900-003 Reinstatement without change of a previously approved collection 2016-12-30 Approved with change
201211-2900-003 Reinstatement with change of a previously approved collection 2013-03-05 Approved with change
200909-2900-004 Extension without change of a currently approved collection 2009-12-14 Approved without change
200702-2900-002 Extension without change of a currently approved collection 2007-03-01 Approved without change
200403-2900-008 Extension without change of a currently approved collection 2004-03-19 Approved without change
200011-2900-009 Reinstatement with change of a previously approved collection 2000-11-30 Approved without change
199302-2900-002 Reinstatement with change of a previously approved collection 1993-02-26 Approved without change
198902-2900-001 Reinstatement with change of a previously approved collection 1989-02-24 Approved without change
198610-2900-011 No material or nonsubstantive change to a currently approved collection 1986-10-01 Approved with change
198509-2900-004 Extension without change of a currently approved collection 1985-09-27 Approved without change
198211-2900-001 New collection (Request for a new OMB Control Number) 1982-11-26 Approved without change