SUPPORTING STATEMENT
VA FORM 29-0759
SUSPENSION OF MONTHLY CHECK
2900-0635
A. JUSTIFICATION
1. The form is used by the Department of Veterans Affairs to advise the beneficiary that his/her monthly check has been suspended. The information requested is authorized by law, 38 U.S.C. 1917.
2. The data collected on the form is used by the Department of Veteran Affairs (VA) to try to obtain a better address from the beneficiary.
3. VA Form 29-0759 is available on the One-VA web site in a fillable electronic format. VBA is currently hosting this form on a secure server and does not currently have the technology in place to allow for the complete submission of the form. Validation edits are performed to assure data integrity. Efforts within VA are underway to provide a mechanism to allow the information to be submitted electronically with a recognized signature technology. There currently is no utility process in place that will allow the data submitted on the form to be incorporated with an existing centralized legacy database.
4. The information is not contained in any other VA records. Similar information is not available elsewhere.
5. The information does not involve any small businesses.
6. The form is designed for use by the beneficiary to establish a better address for receipt of a monthly check.
7. There are no special circumstances requiring that the collection of information be conducted in a manner inconsistent with the guidelines in 5 CFR Section 1320.6.
8. The Department notice was published in the Federal Register on July 16, 2014, Volume 79, No. 136, page 41630. No comments were received in response to this notice.
9. The information collected is supplied by the respondent. No remuneration is made.
10. The information collection conforms with the Privacy Act of 1974 and is subject to the conditions of disclosure contained therein. The records are maintained in the system identified as 36VA00, “Veterans and Armed Forces Personnel United States Government Life Insurance Records - VA” as contained in the Privacy Act Issuances, 1993 Compilation.
11. There are no questions of a sensitive nature.
12. Estimate of Annual Information Collection Burden
Number of Respondents: 1,200
Frequency of Response: As needed
Annual Burden Hours: 200
Estimated Completion Time: 10 minutes
According to the U.S. Bureau of Labor Statistics Average Hourly Earnings, the cost to the respondent is $24, making the total cost to the respondents an estimated $4800.00 (200 burden hours x $24 per hour).
13. This submission does not involve any record keeping costs.
14. Cost to Government:
$1,079.00 Estimated mailing cost (1,200 X 2 minutes per
form X $15.51/hour (average salary for station
mail personnel) plus 1,200 X 38.2 cents each
(presort discount)).
$1,018.00 Estimated cost for collections (1,200 X 2 minutes
per X $13.98/hour (average salary of station collections
personnel)).
$3,966.00 Estimated cost for processing (1,200 forms X 10
minutes per form X $19.83/hour (average salary
for reviewers)).
$60.00 Estimated printing costs (2,000 X $30/1,000 forms).
$6,123.00 Total cost to the Government.
15. There is no change in respondent burden. The expiration date placeholder has been added to the form.
16. The information is collected for insurance purposes only and there are no plans for publication.
17. We are not seeking approval to omit the expiration date for OMB approval.
18. This submission does not contain any exceptions to the certification statement.
B. COLLECTION OF INFORMATION EMPLOYING STATISTICAL METHODS
This collection of information does not employ statistical methods.
| File Type | application/msword |
| File Title | SUPPORTING STATEMENT |
| Author | Veterans Benefits Administrat |
| Last Modified By | Kessinger, Nancy, VBAVACO |
| File Modified | 2014-07-21 |
| File Created | 2014-07-21 |