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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR EXCHANGE OF TOTAL DISABILITY INCOME PROVISION

ICR 198102-2900-008 · OMB 2900-0145 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147290 APPLICATION FOR EXCHANGE OF TOTAL DISABILITY INCOME PROVISION Form Migrated
ICR Details
2900-0145 198102-2900-008
Historical Active 197603-2900-009
VA
APPLICATION FOR EXCHANGE OF TOTAL DISABILITY INCOME PROVISION
Revision of a currently approved collection   No
Regular
Approved without change 03/17/1981
Retrieve Notice of Action (NOA) 02/19/1981
  Inventory as of this Action Requested Previously Approved
03/31/1984 03/31/1984 04/30/1981
500 0 500
125 0 125
0 0 0
THE COMPLETED FORM IS REQUIRED BY LAW, 38 U.S.C. 715 AND 748. THE INFORMATION COLLECTED IS USED TO PROCESS THE INSURED'S REQUEST TO EXCHANGE OR ADD THE TDIP TOTAL DISABILITY INCOME PROVISION.
None
None
No
1
IC Title Form No. Form Name
APPLICATION FOR EXCHANGE OF TOTAL DISABILITY INCOME PROVISION 29-467A
  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 500 500 0 0 0 0
Annual Time Burden (Hours) 125 125 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.
02/19/1981