Pre-Discharge Compensation Claim (21-526c)

ICR 201401-2900-004

OMB: 2900-0743

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
189234 Modified
ICR Details
2900-0743 201401-2900-004
Historical Inactive 201209-2900-010
VA 2900-0743 VBA-COMP-NK
Pre-Discharge Compensation Claim (21-526c)
Revision of a currently approved collection   No
Regular
Withdrawn and continue 03/12/2014
Retrieve Notice of Action (NOA) 02/28/2014
Terms of the previous clearance remain in effect. VA has requested withdrawal of this information collection request.
  Inventory as of this Action Requested Previously Approved
04/30/2016 36 Months From Approved 06/30/2016
161,000 0 161,000
40,250 0 40,250
0 0 0

VA Form 21-526c. The Pre-Discharge Compensation Claim is to be used by service members to file claims under the Benefits Delivery at Discharge or Quick Start programs under Title 38 U.S.C. 5101 (a). This form is associated with the AO81 proposed rule.

US Code: 38 USC 5101(a) Name of Law: Claims and forms
  
None

2900-AO81 Proposed rulemaking 78 FR 211 10/31/2013

Yes

1
IC Title Form No. Form Name
Pre-Discharge Compensation Claim (21-526c) VA Form 21-526c Pre-Discharge Compensation Claim

No
No

$1,504,678
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 crystal.rennie@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.
02/28/2014


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