OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR DEPENDENCY AND INDEMNITY COMPENSATION OR DEATH PENSION BY A SURVIVING SPOUSE OR CHILD (INCLUDING ACCRUED BENEFITS AND DEATH COMPENSATION, WHERE APPLICABLE)

ICR 199011-2900-006 · OMB 2900-0004 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
146472 APPLICATION FOR DEPENDENCY AND INDEMNITY COMPENSATION OR DEATH PENSION BY A SURVIVING SPOUSE OR CHILD (INCLUDING ACCRUED BENEFITS AND DEATH COMPENSATION, WHERE APPLICABLE) Form Migrated
ICR Details
2900-0004 199011-2900-006
Historical Active 198701-2900-005
VA
APPLICATION FOR DEPENDENCY AND INDEMNITY COMPENSATION OR DEATH PENSION BY A SURVIVING SPOUSE OR CHILD (INCLUDING ACCRUED BENEFITS AND DEATH COMPENSATION, WHERE APPLICABLE)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 02/01/1991
Retrieve Notice of Action (NOA) 11/09/1990
  Inventory as of this Action Requested Previously Approved
12/31/1993 12/31/1993
162,720 0 0
203,400 0 0
0 0 0
THE FORM IS AUTHORIZED UNDER 28 USC 410, 541 AND 542 TO GATHER NECESSARY INFORMATION TO DETERMINE A SPOUSE'S AND/OR CHILD(REN)'S ELIGIBLITY, DEPENDENCY AND INCOME DTA, AS APPLICABLE, FOR THE BENEFIT SOUGHT.
None
None
No
  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 162,720 0 0 0 162,720 0
Annual Time Burden (Hours) 203,400 0 0 0 203,400 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.
11/09/1990