OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Obligation to Report Factors Affecting Entitlement (38 CFR 3.204(a)(1), 38 CFR 3.256(a) and 38 CFR 3.277(b))

ICR 201307-2900-018 · OMB 2900-0624 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
2900-0624SupportState.doc Supporting Statement A Uploaded 2014-02-26 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28893 Obligation to Report Factors Affecting Entitlement (38 CFR 3.204(a)(1), 38 CFR 3.256(a) and 38 CFR 3.277(b)) Modified
ICR Details
2900-0624 201307-2900-018
Historical Active 201009-2900-024
VA 2900-0624 VBA-COMP-NK
Obligation to Report Factors Affecting Entitlement (38 CFR 3.204(a)(1), 38 CFR 3.256(a) and 38 CFR 3.277(b))
Extension without change of a currently approved collection   No
Regular
Approved without change 06/23/2014
Retrieve Notice of Action (NOA) 03/21/2014
  Inventory as of this Action Requested Previously Approved
06/30/2017 36 Months From Approved 06/30/2014
372,209 0 372,209
31,017 0 31,017
0 0 0
The information is needed in order to determine whether adjustments in rates of benefit payments are necessary. Without this collection of information, VA would be unable to properly pay benefits, and overpayments could result.
None
None
Not associated with rulemaking
  78 FR 147 07/31/2013
79 FR 25 02/06/2014
No
1
IC Title Form No. Form Name
Obligation to Report Factors Affecting Entitlement (38 CFR 3.204(a)(1), 38 CFR 3.256(a) and 38 CFR 3.277(b))
  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 372,209 372,209 0 0 0 0
Annual Time Burden (Hours) 31,017 31,017 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$123,493
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 [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.
03/21/2014