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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR DEPENDENCY AND IDEMNITY COMPENSATION BY PARENT(S) (INCLUDING ACCRUED BENEFITS AND DEATH COMPENSATION WHEN APPLICABLE)

ICR 199412-2900-002 · OMB 2900-0005 · Historical Active

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IC IDCollectionTypeStatusForm
146482 APPLICATION FOR DEPENDENCY AND IDEMNITY COMPENSATION BY PARENT(S) (INCLUDING ACCRUED BENEFITS AND DEATH COMPENSATION WHEN APPLICABLE) Form Migrated
ICR Details
2900-0005 199412-2900-002
Historical Active 199108-2900-001
VA
APPLICATION FOR DEPENDENCY AND IDEMNITY COMPENSATION BY PARENT(S) (INCLUDING ACCRUED BENEFITS AND DEATH COMPENSATION WHEN APPLICABLE)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 01/19/1995
Retrieve Notice of Action (NOA) 12/08/1994
  Inventory as of this Action Requested Previously Approved
01/31/1998 01/31/1998
20,880 0 0
25,056 0 0
0 0 0
THIS FORM IS AUTHORIZED UNDER 38 U.S.C. 501(A)(2) TO GATHER NECESSARY INFORMATION TO DETERMINE PARENT'S ELIGIBILITY, DEPENDENCY, AND INCOME DATA, 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 20,880 0 0 0 20,880 0
Annual Time Burden (Hours) 25,056 0 0 0 25,056 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.
12/08/1994