Request for Details of Expenses

ICR 201006-2900-010

OMB: 2900-0138

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2010-10-07
IC Document Collections
IC ID
Document
Title
Status
28360 Modified
ICR Details
2900-0138 201006-2900-010
Historical Active 200708-2900-013
VA 2900-0138
Request for Details of Expenses
Extension without change of a currently approved collection   No
Regular
Approved with change 12/05/2010
Retrieve Notice of Action (NOA) 10/12/2010
  Inventory as of this Action Requested Previously Approved
12/31/2013 36 Months From Approved 12/31/2010
22,800 0 22,800
5,700 0 5,700
0 0 0

VA Form 21-8049 is used to obtain the necessary information to determine the amount of any deductible expenses paid by the claimant and/or commercial life insurance received in order to calculate the appropriate rate of pension.

US Code: 38 USC 1503 Name of Law: Determinations with respect to annual income
  
None

Not associated with rulemaking

  75 FR 147 08/02/2010
75 FR 194 10/07/2010
No

1
IC Title Form No. Form Name
Request for Details of Expenses VA Form 21-8049 Request for Details of Expenses

  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 22,800 22,800 0 0 0 0
Annual Time Burden (Hours) 5,700 5,700 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$580,051
No
No
No
No
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.
10/12/2010


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