OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Obligation to Report Factors Affecting Entitlement (38 CFR 3.204(a)(1), 38 CFR 3.256(a) and 38 CFR 3.277(b))

ICR 200410-2900-002 · OMB 2900-0624 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28893 Obligation to Report Factors Affecting Entitlement (38 CFR 3.204(a)(1), 38 CFR 3.256(a) and 38 CFR 3.277(b)) Migrated
ICR Details
2900-0624 200410-2900-002
Historical Active 200110-2900-005
VA
Obligation to Report Factors Affecting Entitlement (38 CFR 3.204(a)(1), 38 CFR 3.256(a) and 38 CFR 3.277(b))
Extension without change of a currently approved collection   No
Regular
Approved without change 01/03/2005
Retrieve Notice of Action (NOA) 10/22/2004
Approved consistent with the following terms: in the next VA request for clearance the Agency will report to OMB on the feasibility of 1. providing the option of a standardized update form and 2. making such a form accessible to respondents through VONAPP.
  Inventory as of this Action Requested Previously Approved
01/31/2008 01/31/2008 12/31/2004
372,209 0 372,209
31,017 0 31,017
0 0 0
The information is needed in order to determine whether adjustments in reates of benefit payments are necessary. Without this collection of information, VA would be unable to properly pay benefits, and overpayments could result.
None
None
No
1
IC Title Form No. Form Name
Obligation to Report Factors Affecting Entitlement (38 CFR 3.204(a)(1), 38 CFR 3.256(a) and 38 CFR 3.277(b))
  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 372,209 372,209 0 0 0 0
Annual Time Burden (Hours) 31,017 31,017 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.
10/22/2004