Annual Certification of Veteran Status and Veteran-Relatives

ICR 200409-2900-004

OMB: 2900-0654

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2900-0654 200409-2900-004
Historical Active
VA
Annual Certification of Veteran Status and Veteran-Relatives
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 12/02/2004
Retrieve Notice of Action (NOA) 09/02/2004
Approved under the following terms: VA will immediately revise the form to explicitly provide the address to which respondents can submit comments regarding the forms burden, in the next submission of this collection VA will report to OMB on the Agency's ability to recognize electronic signatures.
  Inventory as of this Action Requested Previously Approved
12/31/2007 12/31/2007
14,000 0 0
5,834 0 0
0 0 0

VA Form 20-0344 is completed by VBA employees, non-VBA employees in VBA space and Veteran Service Organization (VSO) employees who have access to benefit records. These individuals are required to provide personal identifying informaion for themselves and any veteran relatives, so VA is able to properly protect these benefit records.

None
None


No

1
IC Title Form No. Form Name
Annual Certification of Veteran Status and Veteran-Relatives 20-0344

  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 14,000 0 0 14,000 0 0
Annual Time Burden (Hours) 5,834 0 0 5,834 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
09/02/2004


© 2024 OMB.report | Privacy Policy