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Eligibility Verification Reports
Eligibility Verification Reports
OMB: 2900-0101
IC ID: 28277
OMB.report
VA
OMB 2900-0101
ICR 200203-2900-007
IC 28277
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0101 can be found here:
2024-05-01 - Extension without change of a currently approved collection
2021-06-16 - Extension without change of 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:
Eligibility Verification Reports
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
21-0511V-1
No
No
Form
21-0512S
No
No
Form
21-0512V
No
No
Form
21-0512S-1
No
No
Form
21-0512V-1
No
No
Form
21-0510
No
No
Form
21-0511S
No
No
Form
21-0513
No
No
Form
21-0511V
No
No
Form
21-0511S-1
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
293,894
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
293,894
0
0
0
0
293,894
Annual IC Time Burden (Hours)
146,947
0
0
0
0
146,947
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.