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Federal forms, ICRs, and supporting documents

Information Collection Request

INCOME STATEMENT FOR PARENT CLAIMING DEPENDENCY AND INDEMNITY COMPENSATION

ICR 198609-2900-009 · 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
174383 INCOME STATEMENT FOR PARENT CLAIMING DEPENDENCY AND INDEMNITY COMPENSATION Form Migrated
ICR Details
2900-0152 198609-2900-009
Historical Active 198601-2900-008
VA
INCOME STATEMENT FOR PARENT CLAIMING DEPENDENCY AND INDEMNITY COMPENSATION
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/16/1986
Approved with change 09/16/1986
Retrieve Notice of Action (NOA) 09/16/1986
  Inventory as of this Action Requested Previously Approved
12/31/1986 12/31/1986 12/31/1986
2,626 0 10,500
1,313 0 5,250
0 0 0
VA FORM 21-4179C IS USED TO GATHE INCOME INFORMATION IN CLAIMS FOR DEPENDENCY AND INDEMNITY COMPENSATION BY PARENTS OF A VETERAN (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 2,626 10,500 0 -7,874 0 0
Annual Time Burden (Hours) 1,313 5,250 0 -3,937 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$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.
09/16/1986