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Veteran's Application for Compenstion; Authorization and Consent to Release Information to the Department of Veterans Affairs
Veteran's Application for Compenstion;Authorization and Consent to Release Information to the Department of Veterans Affairs
OMB: 2900-0001
IC ID: 28062
OMB.report
VA
OMB 2900-0001
ICR 200701-2900-004
IC 28062
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0001 can be found here:
2018-04-16 - Reinstatement with change of a previously approved collection
2014-12-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form VA Form 21-526 and
Veteran's Application for Compenstion; Authorization and Consent to Release Information to the Department of Veterans Affairs
Form and Instruction
VA Form 21-526 and Veteran's Application for Compensation;Authorization and
2900-0001 VA Form 21-526 and 21-4142.pdf
www.va.gov/vaforms
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Veteran's Application for Compenstion; Authorization and Consent to Release Information to the Department of Veterans Affairs
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
VA Form 21-526 and 21-4142
Veteran's Application for Compensation;Authorization and Consent to Release to the Department of Veterans Affairs
2900-0001 VA Form 21-526 and 21-4142.pdf
www.va.gov/vaforms
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
395,000
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
395,000
0
0
0
0
395,000
Annual IC Time Burden (Hours)
592,500
0
0
0
0
592,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.