Suspension of Monthly Check ( VA Form 29-0759)

ICR 201403-2900-006

OMB: 2900-0635

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2014-07-21
IC Document Collections
IC ID
Document
Title
Status
28908 Modified
ICR Details
2900-0635 201403-2900-006
Historical Active 201106-2900-005
VA 2900-0635 VBA-INS-NK
Suspension of Monthly Check ( VA Form 29-0759)
Revision of a currently approved collection   No
Regular
Approved without change 01/12/2015
Retrieve Notice of Action (NOA) 10/15/2014
  Inventory as of this Action Requested Previously Approved
01/31/2018 36 Months From Approved 01/31/2015
1,200 0 1,200
200 0 200
0 0 0

VA Form 29-0759 is used by the VA to notify the beneficiary of suspension of a monthly check. The information is required by law, 38 U.S.C. 1917.

US Code: 38 USC 1917 Name of Law: Insurance Maturing on or After August 1, 1946
  
None

Not associated with rulemaking

  79 FR 41630 07/16/2014
79 FR 59559 09/30/2014
No

1
IC Title Form No. Form Name
Suspension of Monthly Check (29-0759) VA Form 29-0759 Suspension of Monthly Check

  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 1,200 1,200 0 0 0 0
Annual Time Burden (Hours) 200 200 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$6,123
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.
10/15/2014


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