Pre-Discharge Compensation Claim

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0743 can be found here:

Documents and Forms

Document Name Document Type
Form 21-526c Pre-Discharge Compensation Claim Form
21-526c Pre-Discharge Compensation Claim 21-526c(7-09).pdf www.va.gov/vaforms/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pre-Discharge Compensation Claim	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21-526c	Pre-Discharge Compensation Claim	21-526c(7-09).pdf	http://www.va.gov/vaforms/	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 161,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	161,000	161,000
Annual IC Time Burden (Hours)	40,250	40,250
Annual IC Cost Burden (Dollars)	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.