OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Appeal to Board of Veterans' Appeals, VA Form 9; Withdrawal of Services by a Representative; Requests for Changes in Hearing Date; Motions for Reconsideration

ICR 201107-2900-015 · OMB 2900-0085 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 9 Appeal to Board of Veterans' Appeals, VA Form 9; Withdrawal of Services by a Representative; Requests for Changes in Hearing Date; Motions for Reconsideration Form Modified Available
2900-0085 justification.docx Supporting Statement A Uploaded 2012-01-04 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28235 Appeal to Board of Veterans' Appeals, VA Form 9; Withdrawal of Services by a Representative; Requests for Changes in Hearing Date; Motions for Reconsideration Form Modified
ICR Details
2900-0085 201107-2900-015
Historical Active 200909-2900-001
VA 2900-0085
Appeal to Board of Veterans' Appeals, VA Form 9; Withdrawal of Services by a Representative; Requests for Changes in Hearing Date; Motions for Reconsideration
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/27/2012
Retrieve Notice of Action (NOA) 01/04/2012
  Inventory as of this Action Requested Previously Approved
03/31/2015 36 Months From Approved 03/31/2012
52,941 0 49,979
50,941 0 48,091
0 0 0
The information required is used in processing appeals for denial of VA benefits.
US Code: 38 USC 7104 Name of Law: Jurisdiction of the Board
   US Code: 38 USC 7105(a) Name of Law: Filing of notice of disagreement and appeal
   US Code: 38 USC 7107 Name of Law: Appeals: dockets; hearings
   US Code: 38 USC 5901 Name of Law: Prohibition against acting as claims agent or attorney
   US Code: 38 USC 5902 Name of Law: Recognition of representatives of organizations
   US Code: 38 USC 7103 Name of Law: Reconsideration; correction of obvious errors
   US Code: 38 USC 5903 Name of Law: Recognition with respect to particular claims
   US Code: 38 USC 5904 Name of Law: Recognition of agents and attorneys generally
   US Code: 38 USC 5905 Name of Law: Penalty for certain acts
  
None
Not associated with rulemaking
  76 FR 188 09/28/2011
76 FR 241 12/15/2011
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 52,941 49,979 0 0 2,962 0
Annual Time Burden (Hours) 50,941 48,091 0 0 2,850 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The change in burden is due to the increase in the number of responses received.
$1,992,374
No
No
No
No
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.
01/04/2012