CHALENG 2025 |
Respondent Identification
VA Form 10-10161 OMB Approval Number 2900-0843 Expiration Date: 11/30/2027 (Estimated Burden Avg: 6 minutes)
VA Burden Statement: 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. The OMB control number for this project is 2900-0843, and it expires 11/30/2027. Public reporting burden for this collection of information is estimated to average 6 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate and any other aspect of this collection of information, including suggestions for reducing the burden, to VA Reports Clearance Officer at VACOPaperworkReduAct@va.gov. Please refer to OMB Control No. 2900-0843 in any correspondence. Do not send your completed VA Form 10-10161 to this email address.
Privacy Notice: This information is collected under the authority of Title 38 U.S.C. 527. Although VA will not collect direct personally identifiable information about individuals and will not use a name or any other personal identifier to routinely retrieve records from the information collected, VA is collecting indirect personal information. All data collected will be kept private and confidential to the extent provided by law. The results of this survey will be used to assess and plan services that meet the needs of homeless Veterans. Participation in this survey is voluntary, and your failure to respond will have no impact on any benefits to which you are entitled.