OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Veteran's Application for Compenstion;Authorization and Consent to Release Information to the Department of Veterans Affairs

ICR 200701-2900-004 · OMB 2900-0001 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 21-526 and Veteran's Application for Compenstion; Authorization and Consent to Release Information to the Department of Veterans Affairs Form and Instruction Modified Repair queued
2900-0001 justification.doc Supporting Statement A Uploaded 2007-01-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28062 Veteran's Application for Compenstion; Authorization and Consent to Release Information to the Department of Veterans Affairs Form and Instruction Modified
ICR Details
2900-0001 200701-2900-004
Historical Active 200311-2900-002
VA 2900-0001
Veteran's Application for Compenstion;Authorization and Consent to Release Information to the Department of Veterans Affairs
Extension without change of a currently approved collection   No
Regular
Approved without change 02/16/2007
Retrieve Notice of Action (NOA) 01/11/2007
Approved consistent with the following terms of clearance: in the next submission of this collection to OMB for review VA shall report on the status of Dept. efforts to provide respondents with a completely electronic process for the completion and submission of associated VA forms.
  Inventory as of this Action Requested Previously Approved
02/28/2010 36 Months From Approved 02/28/2007
395,000 0 395,000
592,500 0 592,500
0 0 0
VA Form 21-526 is used as an original application for veterans to apply for compensation and/or pension benefits. VA Form 21-4142 is completed by veterans seeking VA's help in obtaining non-VA medical records.
US Code: 38 USC Section 5101 Name of Law: Claims and forms
  
None
Not associated with rulemaking
  71 FR 211 11/01/2006
72 FR 4 01/08/2007
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 395,000 395,000 0 0 0 0
Annual Time Burden (Hours) 592,500 592,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$14,465,798
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 [email protected]
  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.
01/11/2007