Information Collection

Annual Recertification

IC 258838 under ICR 202601-2900-010 · OMB 2900-0252.

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Annual Recertification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 36.4352(d) 38 CFR 36.4352(e)(6)-(7)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576	FR Citation: 36 FR 4352

Number of Respondents: 520	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	520	-180	700
Annual IC Time Burden (Hours)	43	-15	58
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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