Application of Service Representative for Placement on Mailing List, Request for & Consent to Release of Info from Claimant's Records, Requests to Correspondent for Identifying Info, 38 CFR 1.519(A)

ICR 201401-2900-016

OMB: 2900-0028

Federal Form Document

ICR Details
2900-0028 201401-2900-016
Historical Active 201011-2900-001
VA 2900-0028
Application of Service Representative for Placement on Mailing List, Request for & Consent to Release of Info from Claimant's Records, Requests to Correspondent for Identifying Info, 38 CFR 1.519(A)
Revision of a currently approved collection   No
Regular
Approved without change 07/30/2014
Retrieve Notice of Action (NOA) 05/27/2014
  Inventory as of this Action Requested Previously Approved
07/31/2017 36 Months From Approved 07/31/2014
196,200 0 196,200
22,700 0 22,700
0 0 0

3215 is used to process requests from service organizations to be place on specific VA publications mailing list. 3288 is completed by VA beneficiaries to provide VA with written consent to release records or information to a third party. 70-2 is used to get additional information from a correspondent when the incoming correspondence does not give enough information to identify a specific veteran. Information collected for list of names and addresses is used to determine whether an applicant is eligible to receive an address list.

US Code: 5 USC 552a Name of Law: Records maintained on individuals
   US Code: 38 USC 5904 Name of Law: Recognition of agents and attorneys generally
   US Code: 38 USC 7722 Name of Law: Outreach services
   US Code: 38 USC 5701 Name of Law: Confidential nature of claims
  
None

Not associated with rulemaking

  79 FR 8244 02/11/2014
79 FR 96 05/19/2014
No

  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 196,200 196,200 0 0 0 0
Annual Time Burden (Hours) 22,700 22,700 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$696,578
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.
05/27/2014


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