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Supplemental Disability Report
Supplemental Disability Report (FL29-30a)
OMB: 2900-0129
IC ID: 28343
OMB.report
VA
OMB 2900-0129
ICR 201310-2900-005
IC 28343
( )
Documents and Forms
Document Name
Document Type
Form FL 29-30A
Supplemental Disability Report
Form
FL 29-30A Supplemental Disability Report
FL 29-30a.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Supplemental Disability Report
Agency IC Tracking Number:
2900-0129 VBA-INS-DB
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FL 29-30A
Supplemental Disability Report
FL 29-30a.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6,570
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
6,570
0
0
0
0
6,570
Annual IC Time Burden (Hours)
548
0
0
0
0
548
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
