Approved with
the following terms: 1. Within 1 month of clearance VA will explain
the necessity of question #12 on form 21-22, or revise the form to
delete this question. 2. Within 1 month of clearance, VA will add
form 22a to this OMB number. 3. Within 1 month of clearance, VA
will add a Notes to both 21-22 and 22a referencing the companion
form.
Inventory as of this Action
Requested
Previously Approved
05/31/2006
05/31/2006
06/30/2003
325,000
0
325,000
27,083
0
27,083
0
0
0
VA Form 21-22 is used for the sole
purpose of collecting the information needed to determine who has
access to the beneficiary's claim file.
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.