Application for Voluntary Service

ICR 201207-2900-005

OMB: 2900-0090

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Supporting Statement A
2012-10-22
IC Document Collections
IC ID
Document
Title
Status
28247 Unchanged
ICR Details
2900-0090 201207-2900-005
Historical Active 200905-2900-002
VA 2900-0090
Application for Voluntary Service
Extension without change of a currently approved collection   No
Regular
Approved without change 11/26/2012
Retrieve Notice of Action (NOA) 10/22/2012
  Inventory as of this Action Requested Previously Approved
11/30/2015 36 Months From Approved 11/30/2012
32,000 0 32,000
8,000 0 8,000
0 0 0

Used to assist personnel of both service organizations and the VA in selection, screening and placement of volunteers in the nationwide VA Voluntary Service Program.

US Code: 38 USC Section 513 Name of Law: Veterans' Benefits
  
None

Not associated with rulemaking

  77 FR 148 08/01/2012
77 FR 203 10/19/2012
No

1
IC Title Form No. Form Name
Application for Voluntary Service VA Form 10-7055 Application for Voluntary Service

  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 32,000 32,000 0 0 0 0
Annual Time Burden (Hours) 8,000 8,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$200,504
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.
10/22/2012


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