Appeal to Board of Veterans' Appeals, VA Form 9; Withdrawal of Services by a Representative; Requests for Changes in Hearing Date; Motions for Reconsideration

ICR 201407-2900-004

OMB: 2900-0085

Federal Form Document

ICR Details
2900-0085 201407-2900-004
Historical Active 201107-2900-015
VA 2900-0085
Appeal to Board of Veterans' Appeals, VA Form 9; Withdrawal of Services by a Representative; Requests for Changes in Hearing Date; Motions for Reconsideration
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/09/2015
Retrieve Notice of Action (NOA) 06/02/2015
  Inventory as of this Action Requested Previously Approved
07/31/2018 36 Months From Approved
58,602 0 0
59,770 0 0
0 0 0

The information required is used in processing appeals for denial of VA benefits. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The Federal Register Notice with a 60-day comment period soliciting comments on this collection of information was published at 79 FR 71506-07, December 2, 2014.

US Code: 38 USC 7105(a) Name of Law: Filing of notice of disagreement and appeal
   US Code: 38 USC 7107 Name of Law: Appeals: dockets; hearings
   US Code: 38 USC 5901 Name of Law: Prohibition against acting as claims agent or attorney
   US Code: 38 USC 5902 Name of Law: Recognition of representatives of organizations
   US Code: 38 USC 7103 Name of Law: Reconsideration; correction of obvious errors
   US Code: 38 USC 5903 Name of Law: Recognition with respect to particular claims
   US Code: 38 USC 5904 Name of Law: Recognition of agents and attorneys generally
   US Code: 38 USC 5905 Name of Law: Penalty for certain acts
   US Code: 38 USC 7104 Name of Law: Jurisdiction of the Board
  
None

Not associated with rulemaking

  79 FR 71506 12/02/2014
80 FR 8952 02/19/2015
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 58,602 0 0 5,661 0 52,941
Annual Time Burden (Hours) 59,770 0 0 8,829 0 50,941
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
There are no program changes. Adjustments reflect an increase in the number of respondents/appeal forms filed with the VA annually. Also, the number of hearings held increased, in part, due to the increased use of video-conference hearings. Calculations were adjusted to take into account respondent burden for additional Services included under supporting statement no. 12. Additionally, the expiration date has been added to the form.

$2,189,348
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.
06/02/2015


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