Compliance Inspection Report

Compliance Inspection Report (VA Form 26-1839)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0041 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 26-1839 Compliance Inspection Report Form
VA Form 26-1839 Compliance Inspection Report 26-1839(2-14).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Compliance Inspection Report	Agency IC Tracking Number:	2900-0041

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 38 CFR 36.4408

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 26-1839	Compliance Inspection Report	26-1839(2-14).pdf	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: 3,600	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	Previously Approved
Annual Number of Responses for this IC	3,600	-2,700	6,300
Annual IC Time Burden (Hours)	900	-675	1,575
Annual IC Cost Burden (Dollars)	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.