Supplemental Disability Report

ICR 200801-2900-003

OMB: 2900-0129

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2008-03-27
IC Document Collections
IC ID
Document
Title
Status
28343 Modified
ICR Details
2900-0129 200801-2900-003
Historical Active 200503-2900-012
VA 2900-0129
Supplemental Disability Report
Extension without change of a currently approved collection   No
Regular
Approved without change 07/01/2008
Retrieve Notice of Action (NOA) 05/23/2008
  Inventory as of this Action Requested Previously Approved
07/31/2011 36 Months From Approved 06/30/2008
6,570 0 6,570
548 0 548
0 0 0

This letter is used to supply information required to process a claim for disability benefits. The information is required by law 38 USC Sections 1912, 1915, 1942 and 1948.

US Code: 38 USC Section 1912 Name of Law: Total Disability Waiver
   US Code: 38 USC Section 1915 Name of Law: Total Disability Income Provision
   US Code: 38 USC Section 1942 Name of Law: Plans of Insurance
   US Code: 38 USC Section 1948 Name of Law: Total Disability Income Provision
  
None

Not associated with rulemaking

  73 FR 14 01/22/2008
73 FR 67 04/07/2008
No

1
IC Title Form No. Form Name
Supplemental Disability Report FL 29-30A Supplemental Disability Report

  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 6,570 6,570 0 0 0 0
Annual Time Burden (Hours) 548 548 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$18,531
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  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.
05/23/2008


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