Information Collection

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

IC 28062 under ICR 201109-2900-009 · OMB 2900-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0001 can be found here:

Documents and Forms

Document Name Document Type
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
VA Form 21-526b Veteran's Supplemental Claim Application 21-526b(10-09).pdf www.va.gov/vaforms Form
VA Form 21-4142 Authorization and Consent to Release Information to the 21-4142.pdf www.va.gov/vaforms Form
VA Form 21-526 Veteran's Application for Compensation and/or Pension 21-526(12-09).pdf www.va.gov/vaforms & va.gov/vonapp/main.asp Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Veteran's Application for Compensation; Authorization and Consent to Release Information to the DVA, Veteran's Supplemental Claim Application	Agency IC Tracking Number:	2900-0001

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21-526b	Veteran's Supplemental Claim Application	21-526b(10-09).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-4142	Authorization and Consent to Release Information to the Department of Veterans Affairs	21-4142.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-526	Veteran's Application for Compensation and/or Pension	21-526(12-09).pdf	www.va.gov/vaforms & va.gov/vonapp/main.asp	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 595,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	595,000	595,000
Annual IC Time Burden (Hours)	441,982	441,982
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.