OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Veteran's Application for Compensation; Authorization and Consent to Release Information to the DVA, Veteran's Supplemental Claim Application

ICR 201109-2900-009 · OMB 2900-0001 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 21-526b Veteran's Application for Compensation; Authorization and Consent to Release Information to the DVA, Veteran's Supplemental Claim Application Form Modified Available
21-4142_Supplemental_Statement_(09-30-11)[1].docx Justification for No Material/Nonsubstantive Change Uploaded 2011-10-11 Repair queued
2900-0001 justification.doc Supporting Statement A Uploaded 2009-12-10 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28062 Veteran's Application for Compensation; Authorization and Consent to Release Information to the DVA, Veteran's Supplemental Claim Application Form Modified
ICR Details
2900-0001 201109-2900-009
Historical Active 200909-2900-007
VA 2900-0001
Veteran's Application for Compensation; Authorization and Consent to Release Information to the DVA, Veteran's Supplemental Claim Application
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/13/2011
Retrieve Notice of Action (NOA) 10/11/2011
  Inventory as of this Action Requested Previously Approved
03/31/2013 03/31/2013 03/31/2013
595,000 0 595,000
441,982 0 441,982
0 0 0
To determine eligibility for compensation and/or pension benefits.
US Code: 38 USC Section 5101(a) Name of Law: Claims and forms
  
None
Not associated with rulemaking
  74 FR 187 09/29/2009
74 FR 235 12/09/2009
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 595,000 595,000 0 0 0 0
Annual Time Burden (Hours) 441,982 441,982 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Revision of the primary form will streamline the application process and reduce the amount of time required to complete the application for compensation or pension benefits.
$10,804,361
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.
10/11/2011