Information Collection

Verification of VA Benefits

IC 28623 under ICR 200701-2900-002 · OMB 2900-0406.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0406 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 26-8937 Verification of VA Benefits Form
VA Form 26-8937 Verification of VA Benefits 2900-0406 26-8937.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Verification of VA Benefits	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 26-8937	Verification of VA Benefits	2900-0406 26-8937.pdf	www.va.gov/vaforms	No		Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50,000	-25,000	0	75,000
Annual IC Time Burden (Hours)	4,167	0	-2,083	6,250
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.