Title:Application for Voluntary Service, VA Form 10-7055.
OMB Control Number:2900-0090.
Type of Review:Extension of a currently approved collection.
Abstract:Individuals expressing interest in volunteering at a VA medical center complete VA Form 10-7055 to request placement in the nationwide VA Voluntary Service Program. VA will use the data collected to place applicants in assignments most suitable to their special skills and abilities.
An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. TheFederal RegisterNotice with a 60-day comment period soliciting comments on this collection of information was published on August 1, 2012 at page 45718.
Affected Public:Individuals or Households.
Estimated Total Annual Burden:8,000 hours.
Estimated Average Burden per Respondent:15 minutes.
Frequency of Response:One time.
Estimated Number of Respondents:32,000.
Dated: October 15, 2012.
By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy and Management, Office of the General Counsel, Department of Veterans Affairs.