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Letter To Champva Beneficiaries Requesting Their Social Security Numbers
LETTER TO CHAMPVA BENEFICIARIES REQUESTING THEIR SOCIAL SECURITY NUMBERS
OMB: 2900-0499
IC ID: 174755
OMB.report
VA
OMB 2900-0499
ICR 198904-2900-036
IC 174755
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0499 can be found here:
1989-04-11 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
LETTER TO CHAMPVA BENEFICIARIES REQUESTING THEIR SOCIAL SECURITY NUMBERS
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
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
FL 10-20876
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
53,700
Number of Respondents for Small Entity:
0
Affected Public:
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
53,700
0
0
53,700
0
0
Annual IC Time Burden (Hours)
483
0
0
483
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.