Title:Former POW Medical History, VA Form 10-0048.
OMB Control Number:2900-0427.
Type of Review:Extension of a currently approved collection.
Abstract:VA Form 10-0048 is completed by a VA physician during a medical examination of a Former Prisoner of War veteran. VA will use the data collected as a guide and reference for treatment planning for the FPOW veteran.
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 45717.
Affected Public:Individuals or households.
Estimated Total Annual Burden:113 hours.
Estimated Average Burden per Respondent:90 minutes.
Frequency of Response:One time.
Estimated Number of Respondents:75.
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.