OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Request for Employment Information in Connection with a Claim for Disability Benefits

IC 28208 under ICR 201006-2900-004 · OMB 2900-0066.

Documents and Forms
Document Name
Document Type
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Request for Employment Information in Connection with a Claim for Disability Benefits 2900-0066
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form Letter 29-459 Request for Employment Information in Connection with a Claim for Disability Benefits 29-459.pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

 

5,167 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,167 0 0 0 0 5,167
Annual IC Time Burden (Hours) 862 0 0 0 0 862
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.