APPLICATION FOR TOTAL DISABILITY INCOME PROVISION (NONMEDICAL)

ICR 198010-2900-013

OMB: 2900-0126

Federal Form Document

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Document
Name
Status
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IC Document Collections
ICR Details
2900-0126 198010-2900-013
Historical Active 197701-2900-018
VA
APPLICATION FOR TOTAL DISABILITY INCOME PROVISION (NONMEDICAL)
No material or nonsubstantive change to a currently approved collection   No
Emergency 10/31/1980
Approved with change 10/31/1980
Retrieve Notice of Action (NOA) 10/31/1980
  Inventory as of this Action Requested Previously Approved
12/31/1980 12/31/1980 11/30/1980
400 0 400
133 0 133
0 0 0

THE COMPLETED FORM IS REQUIRED BY LAW, 38 U.S.C. 715 AND 748. THE INFORMATION COLLECTED IS USED TO DETERMINE THE INSURED'S ELIGIBILITY FOR THE PROVISION.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR TOTAL DISABILITY INCOME PROVISION (NONMEDICAL) 29-1606A

  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 400 400 0 0 0 0
Annual Time Burden (Hours) 133 133 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
10/31/1980


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