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Federal forms, ICRs, and supporting documents

Information Collection Request

INCOME STATEMENT FOR PARENT CLAIMING DEPENDENCY AND INDEMNITY COMPENSATION

ICR 197802-2900-007 · OMB 2900-0152 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147316 INCOME STATEMENT FOR PARENT CLAIMING DEPENDENCY AND INDEMNITY COMPENSATION Form Migrated
ICR Details
2900-0152 197802-2900-007
Historical Active 197511-2900-005
VA
INCOME STATEMENT FOR PARENT CLAIMING DEPENDENCY AND INDEMNITY COMPENSATION
Revision of a currently approved collection   No
Regular
Approved without change 03/06/1978
Retrieve Notice of Action (NOA) 02/24/1978
  Inventory as of this Action Requested Previously Approved
02/28/1983 02/28/1983 11/30/1980
12,000 0 12,000
6,000 0 6,000
0 0 0
THIS FORM IS USED TO REPORT AND CHANGES IN A PARENT'S INCOME AS APPLICABLE. THE INCOME DATE FURNISHED IS USED IN DETERMINING THE PARENT'S ENTITLEMENT TO DEPENDENCY AND INDEMNITY COMPENSAION UNDER EXISTING INCOME LIMITATION AS APPROPRIATE. 38 U.S.C. 415.
None
None
No
1
IC Title Form No. Form Name
INCOME STATEMENT FOR PARENT CLAIMING DEPENDENCY AND INDEMNITY COMPENSATION 21-4179C
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 12,000 12,000 0 0 0 0
Annual Time Burden (Hours) 6,000 6,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/24/1978