Information Collection

Locality Pay System for Nurses and Other Health Care Personnel

IC 28703 under ICR 201110-2900-006 · OMB 2900-0519.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0519 can be found here:

Documents and Forms

Document Name Document Type
Form 10-0132 Locality Pay System for Nurses and Other Health Care Personnel Form and Instruction
10-0132 Locality Pay system for Nurses and Other Health Care Per 10-0132.pdf vaww.va.gov/vaforms/medical/pdf/vha-10-0132-fill.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Locality Pay System for Nurses and Other Health Care Personnel	Agency IC Tracking Number:	2900-0519

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-0132	Locality Pay system for Nurses and Other Health Care Personnel	10-0132.pdf	http://vaww.va.gov/vaforms/medical/pdf/vha-10-0132-fill.pdf	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	90	-261	351
Annual IC Time Burden (Hours)	67	-196	263
Annual IC Cost Burden (Dollars)	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.