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Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Annual Clothing Allowance Under 38 U.S.C. 1162

ICR 200907-2900-003 · OMB 2900-0198 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 10-8678 Application for Annual Clothing Allowance Under 38 U.S.C. 1162 Form Modified Repair queued
10-86781 83C justification.doc Justification for No Material/Nonsubstantive Change Uploaded 2009-09-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28438 Application for Annual Clothing Allowance Under 38 U.S.C. 1162 Form Modified
ICR Details
2900-0198 200907-2900-003
Historical Active 200810-2900-005
VA 2900-0198
Application for Annual Clothing Allowance Under 38 U.S.C. 1162
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 11/12/2009
Retrieve Notice of Action (NOA) 09/22/2009
  Inventory as of this Action Requested Previously Approved
03/31/2012 03/31/2012 03/31/2012
6,720 0 6,720
1,120 0 1,120
0 0 0
Information is requested to determine eligibility to receive a clothing allowance because 1) a prosthetic or orthopedic appliance (including a wheelchair) tends to wear out or tear clothing or 2) a prescribed medication causes irreparable damage to the outer garments.
US Code: 38 USC Section 1162 Name of Law: Clothing Allowance
   US Code: 38 USC Part IV, Chpt. 57, Section 57 Name of Law: Confidential Nature of Claims
   US Code: 38 USC Part V, Chpt. 73, Section 7332 Name of Law: Confidentiality of Certain Medical Records
   PL: Pub.L. 107 - 247 2 Name of Law: Veterans Compensation Cost of Living Adjustment Act of 2002
  
None
Not associated with rulemaking
  73 FR 200 10/15/2008
73 FR 247 12/23/2008
No
1
IC Title Form No. Form Name
Application for Annual Clothing Allowance Under 38 U.S.C. 1162 VA Form 10-8678 Application for Annual Clothing Allowance Under Title 38 U.S.C. 1162
  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 6,720 6,720 0 0 0 0
Annual Time Burden (Hours) 1,120 1,120 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$216,990
No
No
Uncollected
Uncollected
No
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.
09/22/2009