OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances (21-8951 & 21-8951-2)

ICR 201404-2900-020 · OMB 2900-0463 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 21-8951 Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances (21-8951 & 21-8951-2) Form Modified Available
60-Day FRN - 2900-0463 (2014).pdf Supplementary Document Uploaded 2014-06-17 Available
SuppStmt 2900-0463, VAF 21-8951 and 21-8951-2 (12-2-14).docx Supporting Statement A Uploaded 2014-12-04 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28659 Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances (21-8951 & 21-8951-2) Form Modified
ICR Details
2900-0463 201404-2900-020
Historical Active 201104-2900-027
VA 2900-0463 VBA-COMP-YM
Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances (21-8951 & 21-8951-2)
Revision of a currently approved collection   No
Regular
Approved with change 12/11/2014
Retrieve Notice of Action (NOA) 09/25/2014
  Inventory as of this Action Requested Previously Approved
12/31/2017 36 Months From Approved 01/31/2015
21,000 0 21,000
3,500 0 3,500
0 0 0
VA Forms 21-8951 and 21-8951-2 are used by VA beneficiaries who are also reservists/guardsmen to certify the number of days they were in training and either waive VA disability benefits in order to receive training pay or waive training pay in order to receive VA benefits. The law prohibits concurrent payment of training pay and VA benefits.
US Code: 10 USC 12316 Name of Law: Payment of Certain Reserves While on duty
   US Code: 38 USC 5304 Name of Law: Prohibition Against Duplication of Benefits
  
None
Not associated with rulemaking
  79 FR 33806 06/12/2014
79 FR 53112 09/05/2014
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 21,000 21,000 0 0 0 0
Annual Time Burden (Hours) 3,500 3,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$295,249
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.
09/25/2014