Direct Deposit Enrollment/Change (29-0309)

ICR 201403-2900-004

OMB: 2900-0665

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2014-08-05
Supplementary Document
2014-05-06
Supporting Statement A
2014-05-06
IC Document Collections
IC ID
Document
Title
Status
28943 Modified
ICR Details
2900-0665 201403-2900-004
Historical Active 201104-2900-015
VA 2900-0665 VBA-INS-DB
Direct Deposit Enrollment/Change (29-0309)
Revision of a currently approved collection   No
Regular
Approved without change 10/16/2014
Retrieve Notice of Action (NOA) 08/22/2014
  Inventory as of this Action Requested Previously Approved
10/31/2017 36 Months From Approved 01/31/2015
30,000 0 30,000
10,000 0 10,000
0 0 0

This form is designed for use by the insured or beneficiary to establish his/her eligibility for direct deposit. The information is authorized by Public Law 104-134.

PL: Pub.L. 104 - 134 3720C Name of Law: Debt Collection Improvement Account
  
None

Not associated with rulemaking

  79 FR 73 04/16/2014
79 FR 136 07/16/2014
No

1
IC Title Form No. Form Name
Direct Deposit Enrollment/Change (29-0309) 29-0309 Direct Deposit Enrollment/Change

  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 30,000 30,000 0 0 0 0
Annual Time Burden (Hours) 10,000 10,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$141,000
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.
08/22/2014


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