Pre-Discharge Compensation Claim

ICR 200905-2900-005

OMB: 2900-0743

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supplementary Document
2009-09-17
Supporting Statement A
2009-09-18
IC Document Collections
IC ID
Document
Title
Status
189234 New
ICR Details
2900-0743 200905-2900-005
Historical Active
VA
Pre-Discharge Compensation Claim
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/27/2010
Retrieve Notice of Action (NOA) 09/18/2009
  Inventory as of this Action Requested Previously Approved
01/31/2013 36 Months From Approved
161,000 0 0
40,250 0 0
0 0 0

The Pre-Discharge Compensation Claim is to be used by service members to file claims under the Benefits Delivery at Discharge or Quick Start programs under Title 38 U.S.C. 5101 (a). This will be a permanent form available for public use.

US Code: 38 USC 5101(a) Name of Law: Claims and forms
  
None

Not associated with rulemaking

  74 FR 99 05/26/2009
74 FR 148 08/04/2009
No

1
IC Title Form No. Form Name
Pre-Discharge Compensation Claim 21-526c Pre-Discharge Compensation Claim

  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 161,000 0 0 161,000 0 0
Annual Time Burden (Hours) 40,250 0 0 40,250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.

$1,466,823
No
No
Uncollected
Uncollected
No
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.
09/18/2009


© 2024 OMB.report | Privacy Policy