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Federal forms, ICRs, and supporting documents

Information Collection Request

Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances

ICR 200008-2900-007 · OMB 2900-0463 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28657 Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances Form Migrated
ICR Details
2900-0463 200008-2900-007
Historical Inactive 199903-2900-002
VA
Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances
Revision of a currently approved collection   No
Regular
Withdrawn and continue 11/09/2000
Retrieve Notice of Action (NOA) 08/18/2000
Withdrawn as per VA memo of 11-9-00.
  Inventory as of this Action Requested Previously Approved
06/30/2002 11/30/2003 06/30/2002
29,000 0 29,000
4,833 0 0
0 0 0
This form is used by Reserve and National Guard personnel to waive either VA benefits or military pay and allowances. The law prohibits simultaneous payment of VA compensation or pension and military pay and allowances.
None
None
No
1
IC Title Form No. Form Name
Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances 21-8951
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.
08/18/2000